Lead Case Management Nurse/Midwife (Shift, English)

PT Fullerton Health Indonesia; Jakarta Selatan; On-site; IDR 216,000,000 - 260,000,000; Full time

Job summary

PT Fullerton Health Indonesia seeks a LeaderCase Management / Call Center English Speaker (Nurse / Midwife) to handle insured communications, verify medical data, and issue guarantees for various inpatient and medical services. This role requires nursing or midwifery qualifications and fluent English.

The position is based at our South Jakarta head office with shifting hours including weekends and public holidays. Join at the soonest to support healthcare claims and provider coordination.

Qualifications

• Diploma in Nursing or Midwifery is required.
• Fluent in English, both written and spoken, is essential.
• Experience in TPA/insurance/claims or healthcare is preferred.

Responsibilities

• Handle all incoming calls from insured individuals, answering questions about providers, hospital payments, benefits, and related details.
• Receive medical information from hospitals and verify patient data such as participation, pre-existing conditions, and authorization status.
• Issue letters of guarantee for inpatient care, dental care, MCU, Optical and ODCE services.
• Respond to emails with clear corporate communications, complaints, information, or confirmations.
• Confirm diagnoses relevant to advice and communicate investigations to clients as needed.
• Monitor patient progress and investigation results to determine care consistency with medical indications, updating billing and underwriting status as required.

Skills

English fluency

Nursing/Midwifery

Communication

Medical knowledge

Education

Diploma in Nursing or Midwifery

Job description

PT Fullerton Health Indonesia seeks a LeaderCase Management / Call Center English Speaker (Nurse / Midwife) to handle insured communications, verify medical data, and issue guarantees for various inpatient and medical services. This role requires nursing or midwifery qualifications and fluent English.

The position is based at our South Jakarta head office with shifting hours including weekends and public holidays. Join at the soonest to support healthcare claims and provider coordination.