长沙招聘

Job Responsibilities

• Onsite Service in Shanghai/Beijing Public Hospital
• Verify patient’s ID and benefit;
• Collect Co-Insurance and Deductible from the member;
• Copy the medical record if necessary;
• In charge of the claims management of Beijing Key public hospital;
• Network Management and Negotiation
• Maintain the stable relationship with the key public hospital
• Provide direct billing service training for key public hospital
• Communicate with network providers for billing issue, admin issue and solve customer complaints
• Collect and check the claims in public hospitals every month
• Update and maintain network provider information and share documents in network team every month, including but not limited to bi-monthly newsletter, monthly revamping direct billing provider list(internal and external), notice to Global network team and China team.
• Data mining for network providers

                                                        

    

Support Other Operational Areas including Service, Clinical, Sales, Client Management

• Accompany clients who will visit doctors in key public hospitals or hospital tour if necessary.
• Provide consultations of hospital recommendations;
• Participate in out of network provider discount negotiations for specific cases;
• Assist special customer cases when Network coordination is required;
• Coordinate for DB provider requests from Sales and Client Management teams;

                        

    

Qualification

• College graduate with 2-3+ years of experience working in health insurance or healthcare industry. Medical background is necessary.
• Fluent in English and Mandarin in writing, reading and verbal; other Chinese dialects preferred.
• Strong influencing skills and the ability to work in a complex highly matrixed environment, including balancing priorities of multiple organizations to deliver results. Dependency on interdepartmental resources that may be “matrixed relationships” to resolve key service issues.
• Effective process improvement and problem resolution skills.
• Technological competence in outlook and MS Office proficiency including Word, PowerPoint and Excel.
• Effective communication and interaction with other business units. E.g. Service Center, Technology, Sales, Client Management, Global Network Management, Global Health & Wellness.

万宝盛华大中华有限公司，1997年服务启航于香港和台湾。迄今服务覆盖上海、北京、广州、深圳等逾20座直营城市。我们的大股东万宝盛华全球（ManpowerGroup Inc. NYSE:***）是全球人力资源解决方案领导者，拥有70年服务经验。凭借万宝盛华全球的声誉及行业经验，万宝盛华大中华深耕本土20余年。2015年，万宝盛华大中华战略联盟中信产业基金，总部落地上海，服务网络覆盖两岸三地130余城市逾两万家企业。我们始终致力于释放人才的发展潜能，凭借灵活用工、人才寻猎、招聘流程外包、人才管理及培训发展等人力资源综合解决方案，广受业界赞誉，屡次荣膺“亚太人力资源领军企业”。