Provider Administrator

Cape Town, Western Cape, South Africa

Job Description







Introduction Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.



Role Purpose To provide an office based administrative support to external stakeholders and to the internal team in order to ensure an effective and efficient escalation process as well as corresponding system support queries.



Requirements

  • Matric
  • At least 2 - 3 yearsxe2x80x99 experience, preferably in medical scheme industry.
  • At least 2 - 3 years Client services or call centre experience
  • Proficient in MS Office (Excel, Word, Outlook)



Duties & Responsibilities

  • Maintaining and updating of medical practice information
  • Capturing and loading of provider and/or clinical data
  • Administering the contracting of service providers on system
  • Participate in Provider Engagement projects on an ad hoc basis
  • Communicate verbally and in writing with medical practices in a professional manner
  • Investigate and resolve claim queries
  • Handle incoming telephonic and email queries from providers and third parties
  • Educating and supporting the external healthcare providers in the business systems.
  • Conduct telephonic surveys of service providers.



Competencies
  • Business Acumen
  • Client/ Stakeholder Commitment
  • Drive for Results
  • Leads Change and Innovation
  • Motivating and Inspiring Team
  • Collaboration
  • Impact and Influence
  • Self-Awareness and Insight
  • Diversity and Inclusiveness
  • Growing Talent

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Job Detail

  • Job Id
    JD1278568
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Cape Town, Western Cape, South Africa
  • Education
    Not mentioned