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Medical Review, medical network (#1 167 552 401) 

提供的职位在 中国

:Take the responsibility of daily case medical in terms of both claims and Pre:auth cases, including all administration work. Escalate the critical and tricky cases whenever necessary.
:Communicate with customer and doctor, provider regarding medical review result.
:Deal with the complaint/ appeal throughout the claim and pre:auth.
:Provide medical advice / referral when requests from various teams.
:Support service team on investigation of non:disclosure cases.
:Work closely with network team and service team to ensure the smooth process of the daily work.
:Assist manager in large / complicate cases management and establish good relationship with doctors.
:Work closely with global medical team or vendor on evacuation request/ cases.
:Support global business with local medical knowledge.
:Track the day to day case volume and work with manager to analyse the data on regular basis.
:Take full advantage of global medical resources as well as local resources.
:Being initiative on new services that bring medical value to customers.


Requirements:

:Bachelor degree or above, majored in clinical medicine is preferred
:Minimum 3 years working experience in relevant position, experience in claim appeal or individual business position is preferred
:Passion for talent development and growth
:Capacity of Self learning and cross team cooperation
:Priority and time management skill
:Customer centric orientation
:Fluency in Mandarin and English, and good communication skill:ul

公司

公司名称
tiptopjob.com

招聘详情

工作地点
中国



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    吉佳网 - 账号
    1 167 552 401
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    $ 1天前
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