Job Field: Sector in Insurance , Medical / Healthcare
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Senior Case Manager – Care Management, Wellness and CDMP
PURPOSE OF THE JOB Collaborate with medical clients, intermediaries, and medical service providers to facilitate access to quality, timely, effective, and cost-efficient healthcare services with the aim of achieving business growth, profitability, and customer retention. Improve management and outcome of specified medical condition while containing cost for clients with newly diagnosed or long-standing medical conditions.…
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Senior Claims Officer – Medical Department (FAK)
Job Summary To deliver claims related administrative support services through the execution of predefined objectives as per agreed standard operating procedures. Job Description Claims vetting and approval (90%) Receiving and registering incoming claims. Claims adjudication. Analysing all patients’ claims (In terms of completeness, validity, clinical) and processing them for payment. Examining and confirming member benefits,…
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Care Manager – Healthcare Assistant Manager, Case Management Account Manager, Business Retention Accounts Assistant, Finance & Administration
Purpose for the Job The main purpose for the job is to ensure that Minet clients receive quality healthcare at the most reasonable cost, enhance customer experience and offer clinical support to the business. Duties and Responsiblities Case management & pre-authorization Timely adjudication and issuance of approval letters as per policy guidelines Ensure that all…
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Assistant Claims Officer Corporate Sales Executive
Job Purpose: To effectively process medical claims by verifying and updating information about submitted claims and reviewing the work processes required to determine reimbursement. This includes verifying submitted claims, assessing reimbursement policies, performing reconciliation with claims estimates, and conducting payment negotiations and providing support on the process of medical claims. Key responsibilities: Set the appropriate…
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Senior Case Manager – Care Management, Wellness and CDMP
PURPOSE OF THE JOB Collaborate with medical clients, intermediaries, and medical service providers to facilitate access to quality, timely, effective, and cost-efficient healthcare services with the aim of achieving business growth, profitability, and customer retention. Improve management and outcome of specified medical condition while containing cost for clients with newly diagnosed or long-standing medical conditions.…
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Senior Claims Officer – Medical Department (FAK)
Job Summary To deliver claims related administrative support services through the execution of predefined objectives as per agreed standard operating procedures. Job Description Claims vetting and approval (90%) Receiving and registering incoming claims. Claims adjudication. Analysing all patients’ claims (In terms of completeness, validity, clinical) and processing them for payment. Examining and confirming member benefits,…
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Care Manager – Healthcare Assistant Manager, Case Management Account Manager, Business Retention Accounts Assistant, Finance & Administration
Purpose for the Job The main purpose for the job is to ensure that Minet clients receive quality healthcare at the most reasonable cost, enhance customer experience and offer clinical support to the business. Duties and Responsiblities Case management & pre-authorization Timely adjudication and issuance of approval letters as per policy guidelines Ensure that all…
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Assistant Claims Officer Corporate Sales Executive
Job Purpose: To effectively process medical claims by verifying and updating information about submitted claims and reviewing the work processes required to determine reimbursement. This includes verifying submitted claims, assessing reimbursement policies, performing reconciliation with claims estimates, and conducting payment negotiations and providing support on the process of medical claims. Key responsibilities: Set the appropriate…
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Care Manager – Preauthorization
Job Ref. No: JHIL071 Role Purpose Care Management, handling all inpatient and specialized test preauthorization, and communicating with providers, clients, and brokers on a timely basis for any undertakings, rejections, or relevant concerns. Main Responsibilities Undertaking of admissions (including declines). Data collection for Pre-authorizations and high claimant bills. Ensure appropriate Turnaround Time is adhered to…
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Assistant Manager – Provider Partnerships Intern, Marketing
Job Ref. No: JHIL066 Role Purpose To supervise and provide guidance on all matters relating to cost control management, provider onboarding, contracting and strategic relationship management. Main Responsibilities Supervise tiered relationship management with providers and ensuring providers are reasonably satisfied with the company. Facilitate formation of strategic partnerships with service providers through various incentives and…