QA - Provider relation - Cantonese

Cognizant; Kuala Lumpur; On-site; MYR 45,000 - 67,000; Full time

Job summary

Cognizant in Malaysia is seeking an Administrative Support professional to assist with report generation, system maintenance, and claims processing. You will collaborate with network providers and internal teams to ensure data accuracy and timely updates.

Requirements include 1 year in provider relations or health insurance, strong communication and negotiation skills, good analytical ability, attention to detail, and proficiency in Cantonese (written & spoken).

Qualifications

• 1 year of experience in provider relations or health insurance.
• Strong communication and negotiation skills.
• Good analytical and problem-solving abilities.
• Detail-oriented and able to handle multiple tasks.
• Willing to take on new challenges.

Responsibilities

• Generate reports and network summaries on regular and ad hoc bases.
• Handle movement notices and update internal systems.
• Create and maintain provider records, codes, and contract details.
• Support onboarding of new providers.
• Notify internal teams on large hospital claim cases.
• Maintain CPPL and contract data; renewals and updates.
• Check claims status and respond to provider inquiries.
• Ensure data entries and updates are accurate and timely.
• Make calls to providers as needed.

Skills

Report generation

System updates

Provider relations

Health insurance

Communication

Negotiation

Analytical skills

Detail-oriented

Tools

EDI uploads

Invoice trackers

Job description

Job Location : Malaysia

Summary :

Provide administrative support including but not limited to report generation / system updates & maintenance / claim status checking / maintenance of network summaries / voucher request handling/ follow-up with network providers via email / communication with Claims for processing

Roles & Responsibilities :

• 1. Generate different reports and network summaries on regular and ad hoc basis.
• 2. Handle movement notices and update internal systems.
• 3. Create and maintain provider records, provider related codes and contract details in internal systems.
• 4. Support onboarding of new providers.
• 5. Send notification email to internal parties on ""Large Hospital Claim"" cases.
• 6. Handle contract renewals and maintain system reference data.
• 7. Check claims status upon receiving enquiries from network providers.
• 7. Ensure all data entries and system updates are accurate and completed on time.
• 8. Make calls to network providers upon ad hoc request.

PCMS

• 1. Assist with uploading EDI files and updating monthly invoice trackers.
• 2. Prepare monthly savings reports and support data matching for non-standard items.
• 3. Create and maintain service codes, provider records, and contract details in internal systems.
• 4. Support onboarding of new providers and setup of CPPL (Contracted Provider Price List).
• 5. Handle contract renewals and maintain system reference data.
• 6. Communicate with the Claims team to activate processing.
• 7. Process adjustment orders and respond to internal queries from the Claims team.
• 8. Ensure all data entries and system updates are accurate and completed on time.

Experience :

• 1. With 1 year of experience in provider relations or health insurance
• 2. Good communication and negotiation skills
• 3. Good analytical and problem solving skills
• 4. Detail-minded
• 5. Willing to accept new challenges
• 6. Presentable and mature presentation

Language : Must be Proficient in Cantonese (Written & Verbal)

About Cognizant:

Cognizant (Nasdaq: CTSH) engineers modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com or @cognizant.

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