Summary
Date Posted: Friday, January 31 2025, Base Salary: Not Disclosed

JOB DETAILS:
Responsibilities:
• Pre-authorization of scheduled and non-scheduled admissions to ensure validity, legitimacy of admission, and advice on cover.
• Liaise with physicians to obtain client medical reports to ensure they are getting optimal, quality care at most.
• Negotiate professional fees for each admission to ensure clients are receiving cost-effective care within the scope of their cover.
• Discount negotiations with the doctors on procedure charges and consultation.
• Manage the 24-hour helpline and ensure client inquiries are sorted to satisfaction and assist with medical emergencies.
• Visit all admitted clients as part of company PR and to ensure the clients are getting appropriate satisfactory services.
• Attend to preauthorization email requests promptly.
• Co-ordination of inter-hospital transfers, medical evacuation, step-down care, home care and nursing, care upgrades as when required as per clinical assessment.
• Be the first contact to service providers on disputes from client complaints about GA Insurance.
• Audit existing providers to ensure that protocol is adhered to (if not adhered to, make recommendations on next actions—suspend/terminate/warning).
• Train providers on GA protocols to maintain standards.
• Maintain Service Providers contacts and updated lists.
• Maintain reports on Service Providers visits and issues.
• Maintain relationships with existing/new/potential Service Providers.
• Renegotiation of terms with existing Service Providers within set GA insurance guidelines; make recommendations for changing terms outside the job’s scope.

Minimum Qualifications:
• 2 years relevant experience.
• A diploma in Nursing.
• A Certificate in Insurance is an added advantage.
• Must be a registered and licensed Nurse with the Uganda Nurses and Midwives Council.

Required Skills:
• Good negotiation and influencing skills.
• Strong networking and relationship-building skills.
• Excellent interpersonal, verbal, and communication skills.
• Demonstrate a high degree of confidentiality and attention to detail.




Work Hours: 8

Experience in Months: 24

Level of Education: Associate Degree

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