Overview

Casemix Manager Jobs in Bangka-Belitung, Indonesia at Siloam Hospitals Group

Title: Casemix Manager

Company: Siloam Hospitals Group

Location: Bangka-Belitung, Indonesia

At Siloam Hospitals Group, we believe that strong casemix management is the key to smooth hospital operations, faster claims, and better patient care. We’re looking for a Casemix Manager who can bridge strategy and operations — ensuring BPJS and insurance processes run flawlessly from start to finish.


Responsibilitie

  • sPartner with hospital leaders to plan and improve BPJS operations
  • .Work with Finance to analyze gross margins and find ways to make BPJS cases more profitable
  • .Monitor billing vs. BPJS reimbursements and identify opportunities for improvement
  • .Build relationships with clinics, hospitals, and industry networks to secure referral priorities
  • .Collaborate with medical teams to manage patient length of stay and optimize resources
  • .Oversee daily supervision of BPJS patients and ensure smooth claim processes
  • .Guide teams on the latest BPJS regulations and ensure full compliance
  • .Solve claim rejections and prevent potential fraud cases

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Qualificatio

  • nsBachelor’s degree in General Medicine (MD
  • ).Minimum 2 years’ experience in hospital casemix managemen
  • t.Proven experience handling insurance and BPJS casemi
  • x.Strong administrative skills with high attention to detai
  • l.Able to work under pressure and meet deadline
  • s.Excellent coordination and communication abilitie
  • s.Willing to be placed in Siloam Bangka Belitun

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