Healthcare Provider Relations Specialist
2 weeks ago
Position Overview:
The role of the Provider Network Consultant is pivotal in fostering effective partnerships with healthcare providers across various regions. This position is designed to ensure that Bupa Global maintains strong relationships with participating providers in specified geographic areas, including Hong Kong, Macau, Taiwan, Japan, Korea, and Mongolia.
Key Responsibilities:
- Establish and nurture robust relationships with healthcare providers, ensuring regular and proactive communication.
- Collaborate effectively with colleagues in Healthcare Services, Claims, and Bupa Asia to enhance service delivery.
- Set clear expectations for providers regarding response times for inquiries.
- Assist claims and service teams with inquiries related to local providers.
- Support the development of new products, particularly in relation to pre-authorization processes and provider networks.
- Investigate outstanding account statements from participating providers.
- Facilitate provider contracting and network establishment in designated regions.
- Maintain accurate records and update information in relevant systems regarding contracted providers.
- Ensure that valid contact information is stored for each ProviderWorld user.
- Generate regular reports on activities and savings in agreed formats.
- Handle inbound and outbound communications related to general provider inquiries and ProviderWorld.
- Assist claims and service departments with questions regarding local pricing and billing practices.
Essential Qualifications:
- Experience in the global health insurance sector or relevant skills from other financial services industries such as Life Insurance, Healthcare, or Banking.
- Proven track record in complex customer-facing roles within a contact center environment.
- Demonstrated ability to meet and exceed productivity and quality benchmarks.
- Strong customer orientation and focus.
- Exceptional interpersonal, communication, and influencing skills, with a focus on achieving successful outcomes.
- Proficiency in a third language (in addition to English and Mandarin) is advantageous, particularly Japanese or Korean.
Why Choose Bupa?
Bupa is dedicated to being a health insurer and provider that prioritizes its customers. With no shareholders, our mission is centered around helping individuals lead longer, healthier, and happier lives. Our team is united by a common purpose, and we strive to make a positive impact in the world.
We embrace diversity and encourage applications from individuals with varied backgrounds and experiences. As a Disability Confident employer, we guarantee interviews for disabled applicants who meet the minimum job criteria and are committed to ensuring fair treatment and reasonable adjustments throughout the recruitment process.
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