Tariff Management Associate at Reliance HMO

Description

This role is responsible for executing price control strategy via tariffs including, market price research, managing provider tariffs to be standardized and up-to-date in pricing, negotiating tariffs, entering tariff and pricing data, and tiering providers.

• Manage all provider tariffs via the provider management portal ·
• Maintain the tariff reference to be up to date in pricing and comprehensive ·
• Promptly and efficiently upload new tariffs for providers ·
• Handle tariff negotiation requests using the standard operating procedure ·
• Assign provider tier using the standard operating procedure ·
• Execute price control strategies via tariff management

Requirements

• Minimum of a first degree, with an advantage if the degree is medical as in nursing, pharmacy, medical laboratory science, etc, ·
• At least 2 years of experience in a hospital billing or a tariff-related role. ·
• Excellent numeracy, analytical and problem-solving skills. ·
• Excellent interpersonal and communication skills. ·
• Experience and high level of proficiency in the use of Microsoft Suite or Google Suite of products. ·
• Skills for fast and efficient data entry. ·
• Medical knowledge and experience are an added advantage. ·
• Experience with ICD-10 and CPT coding is an added advantage.
• Adhere to the standard operating procedure for executing tasks ·
• Audit and update the standard procedure for tariff management and other related SOPs for improved performance
• Work with technology team on any update on the processes or products for claims or provider management.
• Efficiently manage multiple stakeholders to reach shared goals in a fast-paced and dynamic work environment