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HK Health Services - Specialist

Date: Jun 8, 2019

Location: Cyberjaya, MY

Company: AIA Careers

Job Responsibility

  • Process prior authorization approval requests received as per stipulated requirements.
  • Ensure meeting personal quality, turnaround time and productivity benchmark.
  • Training of all new joiners on processing rules and products knowledge including review and feedback for On-The-Job training cases.
  • Review panel EDI files / Final billing and communicate with panel administrators or medical provider for incorrect billing.
  • Assist Assistance Manager to conduct regular prior authorization review in performance to ensure claims principles/authorities are adhered to. Review approval decision making process to identify areas of risk management concerns for further improvements.
  • Assist to organize and implement team engagement activities to foster closer team spirit and create work life balance environment.
  • Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements

Job Requirement

  • University or college graduate holding appropriate professional qualification, with at least 3 years working experience in related field.
  • Good communications and presentation skills.  
  • Self-motivated and customer orientated.
  • Sound problem solving.
  • Time management skills.
  • Computer literate in MS Office.
  • Preference for proficiency in both spoken and written Chinese and English, with strong written skills.

Job Segment: Risk Management, Finance