Provider Administrator

Closing Date2023/12/06
Reference NumberMMH231127-6
Job TitleProvider Administrator
Position TypePermanent
Role FamilyClient Services
ClusterHealth Solutions
Remote OpportunityNone of the time
Location – CountrySouth Africa
Location – ProvinceWestern Cape
Location – Town / CityCape town (Parcdu cap)
IntroductionMomentum 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 PurposeTo 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. 
RequirementsMatricAt least 2 – 3 years’ experience, preferably in medical scheme industry.At least 2 – 3 years Client services or call centre experienceProficient in MS Office (Excel, Word, Outlook)
Duties & Responsibilities Maintaining and updating of medical practice informationCapturing and loading of provider and/or clinical dataAdministering the contracting of service providers on systemParticipate in Provider Engagement projects on an ad hoc basisCommunicate verbally and in writing with medical practices in a professional mannerInvestigate and resolve claim queriesHandle incoming telephonic and email queries from providers and third partiesEducating and supporting the external healthcare providers in the business systems.Conduct telephonic surveys of service providers.
CompetenciesBusiness AcumenClient/ Stakeholder CommitmentDrive for ResultsLeads Change and InnovationMotivating and Inspiring TeamCollaborationImpact and InfluenceSelf-Awareness and InsightDiversity and InclusivenessGrowing Talent

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