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Provider Accreditation and Relations Supervisor

4 months ago

Cebu, Philippines InLife Health Care Full time

JOB PURPOSE

The Provider Accreditation and Relations Supervisor is responsible for negotiating the contracts with the healthcare provider, facilitates provider credentialing, supports, develops and maintains service relationships with physicians, healthcare facilities administrators and staff, dental providers, clients and concerned Insular Health Care departments.

JOB DESCRIPTION

Nationwide accreditation of healthcare providers

Accreditation of hospitals, clinics, doctors, wellness lecturers and dental providers nationwide.

Renewal of existing accredited healthcare providers nationwide.

Provider credentialing.

Invites doctor to conduct Wellness Lectures nationwide.

Orientation of healthcare providers

2.1 Orientation materials for and company car request.

2.2 Schedule and attendees of the orientation.

2.3 Conducting orientation and answering inquiries.

Providers' Database

3.1 Encode and tagging of providers in the database.

Oversees Providers' Relations Assistant (PRA) activities

4.1 Ensure accuracy of PRA's performance of duties and responsibilities.

4.2 Oversee PRA's dental process of payment.

4.3 Gives directive to issues raised by PRA in the performance of her task.

Prepares reports related to accreditation

QUALIFICATIONS

Education: Must be a graduate of Bachelor's Degree in Nursing or any medical course.

Experience: With managerial experience. With related professional and corporate clinical experience. Experience in insurance / HMO and value adding services preferred.

Knowledge, Skills, and Abilities:

Demonstrated experience in operations and project management.

Excellent communication, presentation, coordination, budget management and negotiation skills.

"No-box" thinker, creative/non-traditional.

Knowledge of medical terminologies and conditions with ability to relate cases, Utilization Management, Relationship Management, Customer Service

Excellent knowledge of MS Office Applications

Computer skills