Website LifeQuest Technologies Ltd
LifeQuest Technologies Limited is an InsurTech company.
LifeQuest Technologies Limited is an Insurtech and third-party medical administration Company.
Our services are technology-based enterprise applications mainly for the Health & Life Insurance companies, corporate, government and non-profit donors who use this as license or on Cloud/SAAS basis and includes modules such as reporting, analysis, reinsurance, policy, underwriting, policy administration, claims, mobile apps etc.
Our esteemed clients & partners use our services and enterprise software around the globe to manage sustainable & profitable operations and policy servicing, its technical aspect of insurance product underwriting and claims management.
Our expertise is building capacity to insurers core businesses and growth by helping local insurance companies become profitable and more sustainable.
04 POSITION- HCP RELATIONSHIP OFFICER- ASSISTANT
LOCATION- LUSAKA
REPORTING TO THE MANAGER – CLAIMS CUSTOMER SERVICE & CASE MANAGEMENT
PURPOSE- PROVIDERS ACCOUNT CLAIMS RECONCILIATIONS & RELATIONSHIP MANAGEMENT
Essential Duties-
- Manage Company emergence line 24X 7. Ensure that LifeQuest Tech receives the pre-auth from hospitals. Plan hospital case management visits to familiarize Case Managers with the patient’s condition to be able to do the relevant interventions
- Accounts reconciliation of claims settlement of all eligible medical claims within agreed service level agreements (SLA) with the network health care providers and Insurers
- To ensure that Health Care Providers are informed in time of the incomplete and hold claims, to avoid unnecessary disputes and disruptions in services due to non-payment of claims
- Responsible for managing relationships and monthly billing reconciliations between the accounts dept and various Insurance Companies/ Healthcare Providers to ensure that claim is settled within SLA; send claim settlement advice to the health care providers within 48 hours of receiving confirmation of transfer and sign off on monthly billing basis
- Reconcile of all payments with health care providers within 60 days of receiving settlement transfer advice; health care providers are required to re-submit suspended claims requiring additional/missing information within 30 days of advice and you will be required to ensure that this is adhered to as per SLA
- Liaise with the network providers to ensure a seamless admission and discharge process of members
- Ensure the member bill are collected from their respective hospital
- Vet all bills as per policy biding the medical scheme at hand
- Continuous training and maintaining good relationships with HCP partners
- Maintain patient data & Confidentiality as per LifeQuest Tech policy
KEY QUALIFICATIONS:
- Diploma in Nursing or at least 2 years’ experience as a Clinical officer in healthcare must
- Mandatory Min 2 years working in healthcare background
- High level of healthcare business awareness
- Understanding of the healthcare business strategies, objectives
- Good knowledge of the medical practices, accounting methods
- Driver’s license must
PERSONAL ATTRIBUTES:
- High standards of honesty and integrity
- Self-Starter & Highly Innovative
- Resilient and ability to work under pressure
- Passion for and attention to detail
- Passion for customer/ People care
- Good communicator, both orally and written
- Team Player & Sense of Urgency
- Concern for order and quality
- Mandatory knowledge and understanding of computer and a quick learner insurance operating system
QUALITIES & SKILLS REQUIRED UNDERTAKING THE ROLE:
- Quantitative/Statistical skills
- Relationship Management Skills
- Good Interpersonal Skills, Time Management & Negotiation skills
- Accounting Skills & Analytical & Planning Skills
- Planning and Organization
- Computer & Technology savvy
REMUNERATION
- No constraints for the right candidate or open for discussion
Note- All applications should be directed along with cv via email to [email protected] Application closing date is 07th April 2025 & Please note that only short-listed candidates for the interviews will be contacted.
LifeQuest Technologies- Medilink International Group is “an equal opportunity employer”, therefore qualified candidates are encouraged to apply irrespective of gender or disability.