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1 Jul 2024

Permanent Medical Service Provider Network Agent | Affinity Health Vacancies

Affinity Health – Posted by shazilih Edenvale, Gauteng, South Africa

Job Description

Affinity Health Vacancies – Medical Service Provider Network Agent

As a Medical Service Provider Network Agent, you will play a pivotal role in maintaining and expanding our network of healthcare providers. Your responsibilities will include recruiting doctors in unrepresented areas, assisting with member and provider queries, and performing administrative duties.

Key Responsible Areas:

  • Recruit doctors in unrepresented areas
  • Assist with member and provider queries
  • Perform administrative duties

Tasks:

Recruit Doctors in Unrepresented Areas:

  • Process GP nominations and contact potential doctors
  • Recruit doctors not currently in our network

Assist with Member and Provider Queries:

  • Handle incoming provider network calls and confirm member benefits
  • Resolve radiology and pathology queries
  • Address queries via electronic channels such as OTRS, Live Chat, and Email

Perform Administrative Duties:

  • Update and maintain provider information/details on CRM
  • Regularly update the network list and maintain GP records
  • Conduct and submit periodic reports

Requirements:

Essential Qualifications:

  • Matric or equivalent

Essential Experience:

  • Minimum 2 years of experience in call/contact center/customer care

Desirable Experience:

  • Background experience in medical/insurance fields
  • Experience in claims administration/primary healthcare administration

Other Requirements:

  • Afrikaans proficiency advantageous

Knowledge and Skills:

  • Strong problem-solving skills
  • Excellent verbal and written communication skills
  • Proficiency in MS Word, Excel, and Outlook
  • Excellent interpersonal and organizational skills

Attributes:

  • Enthusiastic, innovative, and energetic
  • Customer-oriented and results-driven
  • Ability to work effectively in a team or independently
  • Honest, hardworking, and humble demeanor

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