Medical Doctor Casemix

WHAT YOU'LL BE DOING Assist daily activity in obtaining sufficient medical reports from the medical providers to move the case forward. Ensure reviewing medical reports from the medical providers are done promptly to fulfil the Turn Around Time (TAT).

Conduct billing audits of all received invoices before any payment to get the best review of medical claims. Ensure all information related to the case activities is well documented in the system. Ensure that all close cases/claims have the ICD-10 verified in the system.

Accountable for assisting other departments and crisis management centers with a special task or mission. Ensure that all procedure, policy, and company information is maintained to the latest date issued by the Quality Control and Continuous Improvement of Company policy. WHO WE ARE LOOKING FOR

Preferably 1-2 years working experience as a Medical Doctor/Medical Claim Analyst in TPA or Insurance Industry Knowledge about Insurance, especially Health will be an advantage. Possess a service-centre mindset.

Strong written and spoken English and Bahasa Indonesia