Network Engagement and Claims Reconciliation Executive

FULLERTON HEALTHCARE GROUP PTE LTD; Singapore; On-site; SGD 60,000 - 80,000; Full time

Job summary

A prominent healthcare group seeks a candidate to manage billing and reconciliation of statements for hospitals and providers. This role demands proficiency in Excel, solid problem-solving skills, and the ability to work under pressure. The successful candidate will liaise with various departments to ensure accurate billing and prompt payments.

Qualifications

• Minimum Diploma in any discipline required.
• Experience in data collection and analysis is important.
• Strong proficiency in Excel is needed.

Responsibilities

• Handle hospitals and providers’ statement of accounts and billing reconciliation.
• Liaise with internal departments for SOA updating and reconciliation.
• Track and ensure prompt payment to providers.

Skills

Proficiency in Excel

Problem solving

Experience in collecting and analyzing data

Language Proficiency (English)

Education

Diploma in any discipline

Job description

Purpose of Position:

The candidate is responsible for handling hospitals and providers’ statement of accounts (SOA) and the reconciliation of billing submitted. This includes liaising with various internal departments and external stakeholders to ensure accurate billing and SOA. The role helps ensure prompt payment to our providers, manage relationship with the business office of the providers and safeguard the integrity and accuracy of our billings

Key Performance Indicators:

· Maintain a good relationship with all hospitals and providers.

· Minimize rejection of LOG by providers with regards to SOA issues.

· Service Level Agreement are to be met constantly.

· Closing of all escalation within the agreed timeline.

· Set up and implement new protocol within the stipulated timeframe.

· Low complaint rate with regards to the provider SOA

· Ensure accuracy of billing between Fullerton and external partners

Key Roles and Responsibilities:

· Liaising with various internal departments for updating and reconciliation of SOA.

· Update SOA status bi-weekly, or as needed.

· To track and ensure prompt payment to providers and vice versa

· Track and report key functional metrics to contain expenses and improve effectiveness.

Employee Specification

Key Skills:

· Proficiency in Excel

· Problem solving

· Experience in collecting and analyzing data.

· Language Proficiency (English)

Qualifications:

· Education: Minimum Diploma in any discipline

Expected Behavior Traits

· Able to multitask.

· Results oriented and able to work under pressure.

· Adapt to changes quickly.