Provider Claims Liaison

求人詳細

■ Company Overview
Our client is a well-established international healthcare services organisation operating in Japan. The company provides specialized medical administration, healthcare support, and assistance solutions to institutional clients across the region. It maintains a structured, compliance-driven working environment centered on high-quality service delivery.

■ What the Role Offers
・ Broad exposure to international healthcare administration and specialized billing workflows in Japan.
・ Direct cross-functional collaboration with internal medical reviewers and operational support teams.
・ Professional experience within an established corporate compliance and data protection framework.

■ Employment Details
・ Employment Type: Full-time
・ General Work Location: Japan
・ Travel Requirements: Minimal (under 10%)

■ The Opportunity
This role manages the intake, verification, and administrative logging of healthcare provider invoices. Serving as an essential bridge between external healthcare providers and internal operational teams, the position ensures billing aligns with approved medical services while resolving payment-related inquiries. It offers stable career exposure within an international healthcare administration environment.

■ Key Responsibilities
・ Receive incoming medical invoices from healthcare providers across various intake channels and record them accurately in operational tracking spreadsheets.
・ Cross-reference billed medical fees against official service authorization documentation to confirm eligibility and compliance.
・ Input verified provider claims into internal billing software to facilitate prompt reimbursement processing.
・ Respond to telephone and email inquiries from medical service providers, investigating issues thoroughly to deliver clear resolutions.
・ Partner with internal operational units, medical reviewers, and payment specialists to reconcile billing discrepancies and clear outstanding accounts.
・ Provide status updates to functional management regarding operational volume, workflow bottlenecks, and efficiency bottlenecks.
・ Maintain strict adherence to medical privacy policies and data protection standards when handling sensitive health and personal information.
・ Participate in continuous improvement initiatives, team discussions, and internal administrative projects as directed by functional leadership.

こんな方を求めています

経験・スキル

■ Required Experience and Skills
・ Minimum of 2 years of professional experience in medical claims billing, customer service, or a related administrative capacity within a healthcare or financial services environment.
・ Demonstrated customer service capability acquired in the commercial sector.
・ Proficiency in standard office productivity tools, including Microsoft Excel, Word, PowerPoint, and Outlook.
・ Fluency in spoken and written English alongside native-level proficiency in Japanese.
・ Strong numerical literacy, attention to detail, and ability to handle financial data under time constraints.

■ Preferred Qualifications
・ Prior exposure to hospital or healthcare administration practices.
・ Professional certification in medical terminology.
・ Familiarity with Electronic Data Interchange (EDI) platforms or electronic claim submission processes.
・ Post-secondary educational background.

学歴

大学卒業以上

募集要項

職種

その他　金融・不動産専門職

給与

年収 500 〜 700万円

賞与

-

雇用形態

正社員

雇用期間

期間の定めなし

就業時間

09:00～18:00

休日休暇

土曜日　日曜日　祝日

保険

健康保険　厚生年金保険　雇用保険

受動喫煙防止措置

敷地内禁煙

業種

医療機器・医療品関連

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