Aprianes Wijaya
Medical Manager at OneKlinik- Claim this Profile
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Bio
Experience
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OneKlinik
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Indonesia
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Wellness and Fitness Services
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1 - 100 Employee
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Medical Manager
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Jan 2020 - Present
Building primary health care alligned with techology Building primary health care alligned with techology
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Prixa.ai
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Indonesia
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Technology, Information and Internet
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1 - 100 Employee
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Medical Doctor
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Apr 2019 - Jan 2020
Assist tech team to build Tele-health, by taking part in making protocols. Providing Tele-health for patients Assist tech team to build Tele-health, by taking part in making protocols. Providing Tele-health for patients
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Siloam Hospitals Group
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Indonesia
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Hospitals and Health Care
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700 & Above Employee
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Head of Primary Health Care and Network Department
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Jul 2012 - Apr 2019
Description of duties: • Managing Siloam Clinics around Jabodetabek and overseas as satellite clinic of Siloam Hospitals. • Coordinating to Siloam hospitals’ CEO for achieving goals in increase thruput of patients. • Providing onsite clinic for company, school or hotel to manage first line of health care at work site. • Working together with insurance’s company in maintaining first line health care for achieving minimal claim’s ratio. • Giving presentation to company in regards evaluation of services and providing their needs as necessary. • Evaluating the agreement to contract of onsite clinic and providing proper quotation balancing quality. • Conducting medical checkup for employees of the clients. • Building and maintain good relationship with health care providers and the clients.
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International SOS
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Singapore
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Hospitals and Health Care
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700 & Above Employee
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Health Care Management Doctor
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May 2010 - Mar 2011
Description of duties: • Handling evacuation process from site to center of excellence, contact the doctor in site, finding the best provider for treating the patients • As escort doctor for evacuation. • Assessing fitness to fly of our clients • Managing site cases to center of excellence health care in Indonesia Maintain good relation with specialist in all over Indonesia. • Giving advice to our paramedic on site • Reviewing difficult cases and then giving direction for these cases • Reviewing insurance cases • Reviewing invoices from the service providers to check the reasonable cost and reasonable case management • Making decision for insurance claims • Doing investigations for insurance clients • Maintain good relationship with health service providers such as clinics, hospitals in all over Indonesia. • Assessing hospitals • Giving health talk to the clients • Working with claim team • As Third Party Administrator of insurance clients (corporate or individual) • Following medical courses such as ACLS, medical escort training etc • Giving presentation to claim and billing department • Making quarter or annual report of our insurance clients
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Lippo General Insurance
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Indonesia
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Insurance
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100 - 200 Employee
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Case monitoring and provider relation supervisor
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Nov 2009 - May 2010
Description of duties: • Justifying insured and issuing guaranty letter • Monitoring case from whole in patient process, medically and control medical expenses. • Investigating fraud over medical expenses for both in and out patient. • Providing relation to hospitals, building new one and maintaining the last. • Visiting hospitals overseas to monitor their services for the client. Description of duties: • Justifying insured and issuing guaranty letter • Monitoring case from whole in patient process, medically and control medical expenses. • Investigating fraud over medical expenses for both in and out patient. • Providing relation to hospitals, building new one and maintaining the last. • Visiting hospitals overseas to monitor their services for the client.
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General practitioner as PTT doctor (Government service)
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May 2007 - Apr 2008
Description of duties: • Running all the government program for our public community • Giving health care services to the community • Performing emergency surgery for wounded • Promotion and prevention program • Following training and courses which given by the government • Vaccination program Description of duties: • Running all the government program for our public community • Giving health care services to the community • Performing emergency surgery for wounded • Promotion and prevention program • Following training and courses which given by the government • Vaccination program
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Education
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Universitas Esa Unggul
Master of Business Administration - MBA, Hospital and Health Care Facilities Administration/Management -
Universitas Kristen Krida Wacana
Doctor of Medicine (M.D.)