主要驻点在上海公立医院的特需、国际和VIP病房，协助直付卡客户就医并提供相关服务，具体如下：

Onsite Service in Public Hospital

? Verify patient’s ID and benefit;

? Collect Co-Insurance and Deductible from the member;

? Copy the medical record if necessary;

? In charge of the claims management of Beijing Key public hospital;

Network Management and Negotiation

? Maintain the stable relationship with the key public hospital

? Provide direct billing service training for key public hospital

? Communicate with network providers for billing issue, admin issue and solve customer complaints

? Collect and check the claims in Beijing public hospitals every month

? Update and maintain network provider information and share documents in network team every month, including but not limited to bi-monthly newsletter, monthly revamping direct billing provider list(internal and external), notice to Global network team and China team.

? Data mining for network providers

Support Other Operational Areas including Service, Clinical, Sales, Client Management

? Accompany Beijing clients who will visit doctors in key public hospitals or hospital tour if necessary.

? Provide consultations of hospital recommendations;

? Participate in out of network provider discount negotiations for specific cases;

? Assist special customer cases when Network coordination is required;

? Coordinate for DB provider requests from Sales and Client Management teams;

任职要求：

? College graduate with 2-3+ years of experience working in health insurance or healthcare industry. Medical background is necessary.

? Fluent in English and Mandarin in writing, reading and verbal; other Chinese dialects preferred.

? Strong influencing skills and the ability to work in a complex highly matrixed environment, including balancing priorities of multiple organizations to deliver results. Dependency on interdepartmental resources that may be “matrixed relationships” to resolve key service issues.

? Effective process improvement and problem resolution skills.

? Technological competence in outlook and MS Office proficiency including Word, PowerPoint and Excel.

? Effective communication and interaction with other business units. E.g. Service Center, Technology, Sales, Client Management, Global Network Management, Global Health & Wellness.

上班地址：徐家汇路610号日月光中心16楼