Network Administrator - Centurion at Guardrisk

Role Purpose

• To provide an office based administrative support to providers and to the provider team in order to ensure an effective and efficient escalation process as well as corresponding system support.

Requirements

• Matric.
• At least 2 - 3 years’ experience, preferably in medical scheme industry.
• At least 2 - 3 years Client services or call centre experience.
• Proficient in MS Office (Excel, Word, Outlook).

Duties & Responsibilities

• Maintaining and updating of medical practice information
• Capturing and loading of provider and/or clinical data
• Administering the contracting of service providers on systems for networks
• Participate in Provider Engagement projects on an ad-hoc basis
• Communicate verbally and in writing with medical practices in a professional manner
• Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed
• Communicate verbally and in writing with dental providers and pharmacies to resolve enquiries and queries received in all platforms.
• Investigate and resolve claims queries
• Handle incoming telephonic queries from call centre for network providers
• Educating and supporting the healthcare providers on the dental and pharmacy network to remain compliant.
• Assist external stakeholders with network related enquiries
• Support to ensure adequate network coverage for members
• Building and maintaining positive relationships with dental and pharmacy providers
• Contribute to continuous innovation through the development, sharing and implementation of new ideas
• Take ownership for driving career development
• Contribute to the financial planning process within area
• Identify opportunities to enhance cost effectiveness and increase operational efficiency

Competencies

• Business Acumen
• Client/ Stakeholder Commitment
• Drive for Results
• Impact and Influence
• Self-Awareness and Insight
• Collaboration