As Tariff and FAP (financial agreement per providers) Administrator in Providers Network Dept.:
• Managing day-to-day affairs and ensuring customer satisfaction.
• Maintain the relations with customers.
• Undertaking administration tasks.
• Assisting in expanding network of providers.
• Providing quarterly reports about the network of providers in the regions of my responsibility, and use this report in developing this Network.
• Making pitches in an attempt to win new business for the company.
• Responsible for pricing management.
• Conduct negotiation for all financial terms and offers.
• Responsible of adding and modifying all financial conditions.
• Assisting the Direct Manager in setting Department plan for the year.
• Partner with Claims Management to insure correct placement of claim servicing.
• Train providers on procedures that need to be applied as well as on the various portals.
• Managing contractual arrangements with providers.
• Negotiation of contractual terms, special arrangements and negotiating rates to be applicable as necessary.
• Solving errors which occurred in tariff, reimbursement, claims and medical systems in all related departments and follow up all errors that appear on tariff, FAP and items level, because of either human fault or Bugs on the system.
• Reporting for Direct and Head Managers about the tariff and the network providers’ situation.
• Responsible to add and modify any price on the system.
• Coordinate with Underwriting Department in adding, removing or modifying any tariff for any coverage.
• Coordinating with all TPAs in order to check out the last updated tariff list, follow up all Governments and Syndicates decisions.
• Ensuring providers’ satisfaction.
• Suggest a critical solution and follow up with the related departments.
• Share all new special deals with related Departments.
• Manage complaints related to Adherents, evaluated, took a first decision and channelled via GlobeMed Syria complaints desk.
As an administrative assistant in Providers Network Dept.:
• Create providers’ data on a specific system related to the company.
• Create providers’ accounts on a specific system related to the company.
• Sending SMS to providers using a specific program.
• Contact providers to solve their problems on the system.
• Write correspondences, minutes and reports.
• Provide data management and efficient filing retrieval of administrative work.
• Answer, screen and transfer inbound phone calls.
• Receive and direct visitors and clients.
• Assume general clerical duties, including photocopying, faxing and mailing.
• Maintain electronic and hard copy filing system.
• Retrieve documents from filing system.
• Handle requests for information and data.
• Resolve administrative problems and inquiries.
• Prepare written responses to routine enquiries.
• Prepare and modify documents including correspondence, reports, drafts, memos and emails.
• Schedule and coordinate meetings, appointments and travel arrangements for managers or supervisors
• Prepare agendas for meetings and prepare schedules.
• Record, compile, transcribe and distribute minutes of meetings.
• Open, sort and distribute incoming correspondence.
• Coordinate maintenance of office equipment.
- Company industry:
- Insurance & TPA
- Job role:
-
Medical, Healthcare, and Nursing