Healthcare Services (MCU) (TPA)

Job Description

To work within Medical care unit which has 3 subunits : Rejection recovery ( to make calls \engagements with unapproved cases and to respond to the frontliners queries) , Referral unit ( to facilitate clients referrals and services availability , to work on Referral cards platform for members per diem expenses) , checkup unit ( to work with clients and the providers to perform the requested checkups ( occupational and general) and the pre employment candidates and to validate the results before delivering them to the clients.

To receive checkup requests from clients

• To make sure that all requests being resonded to within the agreed KPI.
• To validate the requested checkups and preferred location.
• Good communication with aramco and Key accounts delegates team

providers interactions

• To ensure timely response from the providers regarding the appointments and the attendance and results submission.
• To communicate with the providers for the contingencies and continues education about the packages and the special requests.

Results validation and reporting

• To validate the submitted results from the providers before handing it to the client.
• To work on checkup platform on timely and quality wise matter.
• To ensure all transactions and reports requested is performed.

Skills

• logical, analytic, Presentation, assessment and interpretation skills
• communication and negotiation skills.
• Basic to intermediate knowledge of Microsoft Office
• Able to multitask and work well under stress.
• troubleshooting, problem-solving and analytical skills, excellent follow up skills.
• Ability to effectively prioritize and execute tasks in a high-pressure environment
• A degree in Medicine fields ( Nursing, medical labarotaries,physiotherapy, …ets)
• Any degree/ training in Excel, Data Management and Dashboards, Business Writing, Client Management shall be considered