First Excelsia Professional Services Limited – Our client, an innovative Research and Development company with trail blazing products in the education and health sectors, is recruiting to fill the position below:
Job Title: Provider Relations Manager
Employment Type: Full-time
- The role manages provider interactions / relationship, ensuring clean prompt claims reconciliation and processing through continuous provider education and management
- The role holder will work with the Executive Management to establish processes, manage priorities, monitor progress and document status & progress regarding management of service providers.
- He / She will be responsible for ensuring the quality of service providers, enhancing the excellence of patient management, maximize satisfaction and promote cost effectiveness for the company.
- Timely Claims Coordination and Management
- Quality Assurance and Quality Control
- Provider Accreditation and Contracting
- Provider Administration and Management
- Provider Tariff Management
- Provider Directory Management
- Users’ Refunds Management
- Provider Education and Management
- Management and Resolution of Provider Claims Appeal & Litigations
- Minimum of three (3) years experience as a Provider Administrator or similar role
- Doctor of Medicine (MD) from a recognised institution.
- Current license with the Medical and Dental Council of Nigeria (MDCN)
- Tech savvy.
- Excellent communication and presentation skills
- Project and Product management skills
- Sound medical knowledge.
- Excellent analytical and problem-solving skills.
- Ability to build new and nurture existing relationships
Application Closing Date
10th October, 2021.
Method of Application
Interested and qualified candidates should send their CV to: email@example.com using “Provider Relations Manager” as the subject of the email.