Provider Relations Manager at First Excelsia Professional Services Limited

First Excelsia Professional Services Limited – Our client, an innovative Research and Development company with trail blazing products in the education and health sectors, is recruiting to fill the position below:

Job Title: Provider Relations Manager

Location: Lagos
Employment Type: Full-time
Industry: Tech

Job Summary

The role manages provider interactions / relationship, ensuring clean prompt claims reconciliation and processing through continuous provider education and management
The role holder will work with the Executive Management to establish processes, manage priorities, monitor progress and document status & progress regarding management of service providers.
He / She will be responsible for ensuring the quality of service providers, enhancing the excellence of patient management, maximize satisfaction and promote cost effectiveness for the company.

Job Description

Timely Claims Coordination and Management
Quality Assurance and Quality Control
Provider Accreditation and Contracting
Provider Administration and Management
Provider Tariff Management
Provider Directory Management
Users’ Refunds Management
Provider Education and Management
Management and Resolution of Provider Claims Appeal & Litigations

Person Specification

Minimum of three (3) years experience as a Provider Administrator or similar role
Doctor of Medicine (MD) from a recognised institution.
Current license with the Medical and Dental Council of Nigeria (MDCN)
Tech savvy.
Excellent communication and presentation skills
Project and Product management skills
Sound medical knowledge.
Excellent analytical and problem-solving skills.
Detail-oriented.
Ability to build new and nurture existing relationships