SERVICE PROVIDER LIAISON OFFICER – Ultra-Med Health Care 61 views

Job Description

Applications are invited from suitably qualified and experienced individuals to fill in the positions which have arisen within Ultra-Med Health Medical Aid Society

Service Provider Liaison Officer – Medical Aid Services

Duties and Responsibilities

.

The successful incumbent’s main duties and responsibilities will include;

Facilitating the registration of local and Foreign Service providers.
The duties also include brand promotion, monitoring card acceptability by the service providers.
The incumbent will be required to attend to all service provider queries and assess treatment plans for admitted members or chronic patients.
Checks for completeness of registration documents in line with Ultra-Med Health Medical Aid Society provider registration requirements.
Maintains provider register by accurately capturing of any amendments and updates.
Resolves all provider queries in the Country.
Conducts provider training of new and existing service providers.
Identifies provider training gaps in liaison with claims department and data analysis reports.
Reviews claiming patterns for newly registered providers and intervene accordingly.
Compiles and produces reports on provider registration and training.
Complies register of service provider queries and resolutions statistics in line with set standards

Qualifications and Experience

QUALIFICATIONS AND EXPERIENCE

A degree in Risk Management and Insurance.
Knowledge of excel.
Minimum of 3 years experience in a similar position in a Medical Aid Society. Nursing background is an added advantage.
Good oral and written communication skills and Deadline oriented.
Proficient in managing business correspondence.