Provider Administrator Job description sample

Provider Administrator Job description sample

This Provider Administrator Job description sample can assist in your creating a job application that will attract job candidates who are qualified for the job. Feel free to revise this job description to meet your specific job duties and job requirements.

 

Job Title:  Provider Administrator

 

Job Objective(s)

  • Provider prospecting (visitation, phone calls and e-mails)
  • Documentation and filing of Prospective and available providers
  • Handling Call Centre and issuing authorization code when needed
  • Provider quality assessment
  • Case Management

 

Specification/Qualification Requirement:

  • Qualification: Minimum of the first degree, a Master’s degree would be an added advantage
  • Age: Between 25 and 45 years.

Experience Required:

  • Minimum of 2 years post qualification experience in a similar role in the Health Maintenance Organization (HMO) or handling HMO desk in a Hospital.

 

 

Professional Membership:

  • Professional qualification in Management is an added advantage

 

Reporting Relationship:

  • Reports to: Head, Medical Operations
  • Supervises: Front desk staff

 

Job Responsibilities

  • Provider Relationship Management
  • Provider Identification, Profiling and Activation management(filing and record-keeping)
  • Provider visitation, audit and capacity evaluations.
  • Assist and follow up on provider tariff review, negotiation and implementation for prospective providers
  • Provider network quality assurance, profitability assessment and banding.
  • Coordination of Care access and referral mechanism
  • Promotion of cordial relationship between Clients and Providers
  • Provider and Clients Education and enlightenment.
  • Provider satisfaction survey, feedback and analysis
  • Scouting for and activating new HCPs and managing all providing  filing  systems both  online  and  hard  copy
  • Handle call centre calls and give email approvals for procedures or issuance of verbal Pre-Authorization codes as  the  case  may
  • Any activity assigned by Management

 

 

Units Under Provider Administration

  • Provider Management
  • Call centre

 

Competence Requirements:

 

Core Skills:

  • Planning and Strategy
  • Provider prospecting
  • Provider management
  • Document filing and record-keeping
  • Provider visitation
  • Research
  • Decision-Making Skills
  • Negotiation Skills
  • IT Applications in business and customer service

 

Generic Skills

  • Organisation Context
  • Leadership
  • Communication
  • Presentation Skills
  • Relationship Management Skills
  • Emotional Intelligence
  • Analytical skills
  • Interpersonal Skills:
  • Environmental awareness
  • Performance Management
  • Office productivity IT tools
  • Fiscal Management

 

 

Contact us for a professional job description sample visit LJINig. Job portal for Provider Administrator Job

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