高端医疗外资保险-医院代表
普仕英才（北京）管理咨询有限公司
- 公司规模：少于50人
- 公司性质：民营公司
- 公司行业：专业服务(咨询、人力资源、财会)
职位信息
- 发布日期：2014-05-06
- 工作地点：北京
- 招聘人数：10
- 语言要求：英语精通
- 职位月薪：面议
- 职位类别：护士/护理人员
职位描述
Main duties/Responsibilities
? Onsite Service in Shanghai 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 Shanghai 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 Shanghai 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, and Client Management
Accompany Shanghai 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;
Experience/ professional qualifications /Skills Required
? 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.
? Onsite Service in Shanghai 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 Shanghai 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 Shanghai 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, and Client Management
Accompany Shanghai 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;
Experience/ professional qualifications /Skills Required
? 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.
公司介绍
Pro-Matrix & Co is a China-centric recruitment firm with offices in Beijing and Shanghai
Our goal is to build a sustainable recruitment partnership with both MNC and Chinese local clients with a consultative business approach
Placement footprint across multi-sectors in the PRC region
Combining the advanced recruitment methodology with the deep talent market insight
Matrix portfolio management leveraged by both individual excellence and operational efficiency
Our goal is to build a sustainable recruitment partnership with both MNC and Chinese local clients with a consultative business approach
Placement footprint across multi-sectors in the PRC region
Combining the advanced recruitment methodology with the deep talent market insight
Matrix portfolio management leveraged by both individual excellence and operational efficiency