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Provider Relation Officer

Med Right for medical services
Maadi, Cairo
Posted 2 years ago
83Applicants for3 open positions
  • 33Viewed
  • 0In Consideration
  • 0Not Selected
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Job Details

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Job Description

  • Develops strong interpersonal relationships with assigned providers, mainly through:
  1. Continuous education on protocols, policies, and procedures.
  2. Follow up of providers using different means of communication, such as e-mail, phone calls, fax, and office site visits.
  3. Monitoring and optimization of reimbursement
  • Surveys the market for new providers that meet the addition policy.
  • Responds to requests and problems raised by clients, providers, or other company departments.
  • Negotiates rates for new providers and renegotiates contracts for existing physicians within established limits.
  • Facilitates the distribution of provider agreements.
  • Ensures provider database and documentation is up-to-date, accurate, and complete. 
  • Files contracts: paper and electronic. Ensures new physician contracts are entered promptly and accurately.

Job Requirements

  • Must have basic familiarity on requirements relating to insurance regulations and practices.
  • Computer literate and proficient in using MS office programs.
  • Good Communication Skills including spoken and written English.
  • Must to be able to recognize and work to deadlines and achieve target.
  • Time Management.
  • Presentation Skills.
  • Effective team player with very good interpersonal skills and ability to work and relate well with co-employees, customers.
  • Having the behavioral sensitivity, maturity, diplomacy and tact in addressing complex situations and handling irate customers.
  • Strong ethics and high level of personal and professional integrity.
  • Bachelor’s Degree from Pharmaceutical/Medical field.

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