Specialist Medical Site

Some of your duties will include:

• Organizing, managing, and delivering healthcare programs that follow the applicable regulations, recognized practices, and procedures, align with the company's core values, and comply with prevailing laws and regulations.
• Understand the company's health benefits, insurance policies, and referral system.
• Reading procedures, flow process, and guidelines, including regulations & best practices, to ensure that clinic operations & site health programs meet the qualities of the COMPANY expectations.
• Consistently meets or exceeds expectations for departmental standards related to Quality, Service Level, Call Goal, and other KPIs.
• Liaise with other departments and sections, including external parties, e.g., hospitals and insurance companies, to ensure the proper site referral system.
• Coordinate, supervise, monitor, and maintain ongoing tracking and appropriate documentation on all steps of the referral process.
• Receive visiting employees/dependents and provide them with necessary assistance.
• Discuss with the referral patient by email, telephone, WhatsApp, face-to-face, or other applicable recognized media by the company and provide information.
• Provides information on the claim process, policy changes, benefits, and payment modes/methods
• Maintain strong client relationships with employees and dependents.
• Take calls from patients and in charge of offering necessary assistance to employees and dependents.
• Analyze employees' and dependents' complaints, communicate, escalate, and communicate.
• Record all conversations with patients, including details of inquiries or complaints (managing database) and action steps.
• Recommending any necessary adjustments and changes in all business flow processes, including procedures & guideline 
• Keep accurate documentation, perform analysis (including maintaining the available database) & create a report for the medical advisor. 
• Assist health advisor/manager in monitoring the quality aspects of a site referral program.  

What skills and experience do you need?

• Bachelor's degree in Nursing/public health, Healthcare, related field or equivalent solid experience.
• Minimum one year's experience in a hospital/clinic setting or similar experience in managing & monitoring patients.
• Understanding all Indonesia health regulations.
• Basic understanding of healthcare management.
• Have basic knowledge about health insurance and customer service oriented.
• Healthcare management and or sufficient training or experience related to hospital/health Insurance program qualities.
• Advance in data analysis & statistic management skills.