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Provider Reconciliation Specialist

Prime Consulting Moçambique

Prime Consulting Moçambique is recruiting a Provider Reconciliation Specialist, to be based in Maputo, Mozambique.
Duties
  • Ensure the provider reconciliations are correctly done daily, weekly and annually
  • Ensure quality assurance checks are performed and any discrepancies communicated
  • Ensure signed off reconciliations are printed  and reviewed by Team Leader
  • Ensure that all disputes from providers are resolved timeously and accurately
  • Ensure daily monthly claims overrides are done
  • Ensure control checks are in place and audit deliverables are met
  • Ensure maintenance of an accurate provider details’ database exists at all times
  • Ensure effective customer service to all providers where direct engagement is required
Requisites
  • Finance related Diploma/Certificate
  • It is imperative that applicants have experience in the field of health insurance
  • 2 or 3 years in Finance, Credit Control and Complaints in the health insurance industry and the medical insurance industry. It's essential
  • A year or 2 in Health Care Provider Industry (non-clinical) will be advantageous
  • Fluency in English and Portuguese is required
  • Written and Verbal Communication
  • Microsoft Office (especially Excel)
  • Ability to meet strict  deadlines
  • Problem Solving
  • Time management
  • Analytical thinking
  • Detail orientated
Notes
  • Only shortlisted applicants will be contacted
  • Send your CV in English and Portuguese

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