Health Insurance Customer Service Specialist (Medical Professionals) - PT Nata Praja Solusindo

PT Nata Praja Solusindo is seeking a dedicated Health Insurance Customer Service Specialist (Medical Professionals) to join our team in Sleman, DI Yogyakarta. This role is crucial in ensuring the smooth and accurate processing of health insurance claims for both inpatients and outpatients. You will be the first point of contact for our medical professionals, providing expert support and guidance to ensure a seamless experience.

As a Health Insurance Customer Service Specialist, you will handle a variety of tasks, including verifying patient information, processing claims, and resolving any issues that arise. This role requires a combination of technical expertise and excellent customer service skills. You will work with a variety of health insurance providers, including BPJS, private insurers, and international plans. Your ability to communicate clearly and professionally is essential, as you will be interacting with doctors, nurses, and other medical staff on a daily basis.

Join PT Nata Praja Solusindo and be part of a dynamic team dedicated to providing top-notch customer service. This is an excellent opportunity to grow your career in the healthcare industry while making a meaningful impact on the lives of our patients.

📋 Tanggung Jawab Pekerjaan

• Process and verify patient information for health insurance claims
• Handle inpatients and outpatients claims with accuracy and efficiency
• Resolve any issues or disputes related to health insurance claims
• Provide expert customer service to medical professionals
• Work with a variety of health insurance providers, including BPJS, private insurers, and international plans
• Maintain accurate and up-to-date records of all claims processed
• Stay informed about the latest developments in health insurance policies and procedures
• Participate in team meetings and training sessions to improve skills and knowledge

🎓 Kualifikasi & Syarat

• Bachelor's degree in a related field, such as Healthcare Administration, Business Administration, or a similar discipline
• Minimum of 2 years of experience in a customer service or administrative role within the healthcare industry
• Proficiency in using health insurance management software, such as SAP, Oracle, or similar systems
• Strong knowledge of health insurance policies and procedures
• Excellent communication and interpersonal skills
• Ability to work under pressure and meet tight deadlines
• Fluency in both English and Indonesian languages
• Valid SIKA (Surat Izin Kerja Ahli) or equivalent certification for medical professionals

🛠️ Keahlian

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