南京招聘

Location: Shanghai

This position is responsible for providing on-site service, relationship and administration work in the key public hospital in Shanghai、Beijing. Assisting network manager’s work and be in charge of administration work in China network team.

Job Responsibilities

1. >Onsite Service in Shanghai Public Hospital
2. Verify patient’s ID and benefit;
3. Collect Co-Insurance and Deductible from the member;
4. Copy the medical record if necessary;
5. In charge of the claims management of Beijing Key public hospital;
6. >
7. >Network Management and Negotiation
8. Maintain the stable relationship with the key public hospital
9. Provide direct billing service training for key public hospital
10. Communicate with network providers for billing issue, admin issue and solve customer complaints
11. Collect and check the claims in public hospitals every month
12. 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.
13. 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.

地点:上海

该职位负责在北京上海重点公立医院提供现场服务、关系及行政管理工作。协助网络经理的工作，负责中国网络团队的行政工作。

工作职责

上海公立医院现场服务

?核实患者身份和受益情况;

?向会员收取共同保险和可扣除费用;

?必要时复印病历;

?负责北京市重点公立医院的理赔管理工作;

网络管理与协商

?与重点公立医院保持稳定的关系

?为重点公立医院提供直接计费服务培训

?与网络供应商沟通账单问题，管理问题，解决客户投诉

?每月在公立医院进行理赔的收集和核对

?每月更新和维护网络供应商信息，并在网络团队中共享文件，包括但不限于双月刊通讯，每月修改直付供应商列表(内部和外部)，通知全球网络团队和中国团队。

?网络提供商的数据挖掘

支持其他运营领域，包括服务，临床，销售，客户管理

?陪同客户前往重点公立医院就诊或必要时进行医院巡诊。

?提供医院建议的咨询;

?参与特定案例的out of network提供商折扣谈判;

?在需要网络协调时，协助特殊客户案例;

?协调来自销售和客户管理团队的DB提供商请求;

资格：

?大学毕业，有2-3年以上医疗保险或医疗行业工作经验。必须有医学背景。

?流利的英语和普通话书写、阅读和口语能力;其他中国方言优先。

?强大的影响力技能和在复杂的高度矩阵化环境中工作的能力，包括平衡多个组织的优先级以交付结果。依赖于部门间资源，这些资源可能是解决关键服务问题的“矩阵关系”。

?有效的过程改进和问题解决技巧。

?具备outlook和MS Office的技术能力，包括Word、PowerPoint和Excel。

?与其他业务部门进行有效的沟通和互动。服务中心、技术、销售、客户管理、全球网络管理、全球健康。

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”。