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Idham Topik Yoga
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Bio
Experience
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PT. Medilink Digital Medika
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Jakarta, Indonesia
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Case Management Specialist
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May 2024 - Present
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Jakarta, Indonesia
1.Monitor health insurance claims for compliance and validity.2. Process complex or investigative claim cases.Interact with providers or customers for necessary information.3. Analyze claim data for trends and provide regular reports.4.Collaborate with internal teams to enhance processes.5. Ensure claim processes align with regulations.Identify and suggest improvements for claim processes.
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PT Asuransi Reliance Indonesia
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Jakarta, Indonesia
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Reliance In patient Monitoring
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Sep 2021 - Apr 2024
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Jakarta, Indonesia
RIM Reliance In-patient MonitoringRIM ( RELIANCE IN MONITORING )A. MonitoringPeserta masuk rawat inap1. Peserta dalam masa perawatan (daily monitoring) danMenginformasikan perkembangan kesehatan peserta,2. Menginformasikan estimasi biaya perawatan, perkiraan totalbiaya dan excess ( menginformasikan ke pada pihak rs ,keluarga serta perusahan atau pic.B. Admision( Peserta masuk dan pre admission )1. Proses pasien masuk dan sebelum rawat2. Proses penerbitan GL 1x24 jam3. Acc tindakan pasien pre admision dan Rawat inap4. Rejection peserta rawat inap dan pre admison (Sesuai ketentuan)4. Proses pasien kontrol post rawat inap dan hamil
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Education
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2022 -Universitas MH Thamrin
Master's degree, Public Health
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Industry Focus. “Hospitals and Health Care”
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