Tariff Management Associate at Reliance HMO

Description

This role is responsible for executing price control strategy via tariffs including, market price research, managing provider tariffs to be standardized and up-to-date in pricing, negotiating tariffs, entering tariff and pricing data, and tiering providers.

  • Manage all provider tariffs via the provider management portal ·
  • Maintain the tariff reference to be up to date in pricing and comprehensive ·
  • Promptly and efficiently upload new tariffs for providers ·
  • Handle tariff negotiation requests using the standard operating procedure ·
  • Assign provider tier using the standard operating procedure ·
  • Execute price control strategies via tariff management

Requirements

  • Minimum of a first degree, with an advantage if the degree is medical as in nursing, pharmacy, medical laboratory science, etc, ·
  • At least 2 years of experience in a hospital billing or a tariff-related role. ·
  • Excellent numeracy, analytical and problem-solving skills. ·
  • Excellent interpersonal and communication skills. ·
  • Experience and high level of proficiency in the use of Microsoft Suite or Google Suite of products. ·
  • Skills for fast and efficient data entry. ·
  • Medical knowledge and experience are an added advantage. ·
  • Experience with ICD-10 and CPT coding is an added advantage.
  • Adhere to the standard operating procedure for executing tasks ·
  • Audit and update the standard procedure for tariff management and other related SOPs for improved performance
  • Work with technology team on any update on the processes or products for claims or provider management.
  • Efficiently manage multiple stakeholders to reach shared goals in a fast-paced and dynamic work environment

Method of Application

Interested and qualified? Go to Reliance HMO on jobs.workable.com to apply

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