Nurse Services Advisor w/ Portuguese/Brazilian - Dublin

Our client a major insurance provider based in Dublin wish to appoint a Nurse Services Advisor with Portuguese/Brazilian to their team.

Job Purpose

The position involves pre-authorization of in – patient procedures balancing aggressive cost containment with optimal customer service. The applicant must be able to maintain effective and collaborative relationships with hospitals/physicians whilst being conscious of relationships with brokers, clients and policy holders.

Medical Services Advisor Responsibilities

- Preauthorization of in-patient treatment.
- Aggressive cost containment through tight adjudication, correct evaluation of medical appropriateness and successful negotiation.
- Case management of complex cases.
- Maintain relationships with brokers/clients/providers.
- Medical claims reviews

Requirements

- Candidates for this role will hold a minimum of 3 years professional clinical experience in a multi-practice operation or hospital.
- Exposure to administrative functions.
- Strong written and verbal communication is essential for communication with medical providers around the world
- Sound medical knowledge suitable
- Proactive and have the ability to work under pressure
- Organised, efficient, and results oriented
- Flexibility in approach

An excellent salary plus benefits package will apply to the right individual.

For further information, please contact Marc Flanagan in the strictest confidence at This e-mail address is being protected from spambots. You need JavaScript enabled to view it