The applicant must be able to maintain effective and collaborative relationships with hospitals/physicians whilst being conscious of relationships with brokers, clients and policy holders.
Key Responsibilities
Preauthorization of in-patient treatment.
Aggressive cost containment through tight adjudication, correct evaluation of medical appropriateness and successful negotiation.
Case management of complex cases.
Maintain relationships with brokers/clients/providers.
Medical claims reviews
In line with plans to provide 24 /7 service to our insured members this role will involve working night and weekends on a rotational basis.
Experience Required
Minimum of 1 years professional clinical/nursing experience in a multi-practice operation or hospital.
Must be Fluent in German and English
For further information please call Tina or Linda at 01 2784671 or email your CV in the strictest confidence to tdunne@thornshaw.com ldunne@thornshaw.com .
