Manage the quality and costs of services/care provided to patients and be responsible for carrying out various initiatives, both strategic and operational, including analyzing patients by each service unit, ensuring positive internal referrals, and building good relationships between units and related external parties
Collaborate with hospital leaders (CEO, Hospital Director, AMA) in areas ranging from strategic planning to operational development
Collaborating with Finance to conduct an analysis of gross margins based on type of service (craft groups) and treatment
Analyze discrepancies between hospital billing rates and insurance reimbursements to identify opportunities for improved financial performance in insured patient cases.
Collaborating with the Siloam marketing and clinic team.
Hold regular meetings with Siloam clinics, non-Siloam clinics and other related hospitals to get priority referrals.
Collaborate with AMA to improve performance of low utilization equipment.
Review and carry out daily supervision of insured inpatients based on daily reports from the RMO for IPD cases
Maintaining the estimated number of claims in the web application and communicating it with specialist doctors.
Conduct discussions with AMA and/or Hospital Director regarding difficult or special cases.
Communicate with the medical team (specialists and RMO) and pharmacy to review the services, procedures, and examinations provided to insured patients, starting from the reception of IPD patients and/or based on daily reports until discharge, including any follow-up examinations..
Ensure that the rooms provided are in accordance with the specified patient class and/or patient top-up standards (if any).