Prita Tri Eprianti
Medical Doctor
Jakarta
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
9
9
years of professional experience
2
2
Languages
Work History
Medical Advisor
Halodoc
04.2023 - Current
- Case management simple to complex high value cases.
- Perform medical claims reviews.
- Perform necessary medical investigation related to necessity of medical claims.
- Perform cost containment through tight adjudication, correct evaluation of medical appropriateness and successful negotiation
- Established relationships with internal and external team
- Reviewed literature and facilitated communication between providers and clients.
- Promoted scientific and clinical trends awareness and maintained understanding of scientific evidence to construct accurate knowledge to the team.
- Lead and train the team to gain correct and proper medical analysis based on insurance policy.
Medical Coordinator
Global Assistance and Healthcare
06.2016 - 04.2023
- Perform and supervise the following types of functions: answering telephones; scheduling appointments; verifying eligibility; registering patients and checking them in and out; making referrals and obtaining authorizations.
- Reviews medical information provided by hospitals and perform appropriate medical analysis and report to the clients.
- Perform effective collaboration and coordination internally and externally.
- Perform medical assistances for the clients as for provide medical assessment and verifying evacuation eligibilities.
Education
Bachelor of Medicine -
Krida Wacana Christian University
Jakarta, Indonesia 04.2001 -
Skills
Evidence-based medicineEvidence-based medicine
Clinical expertise
Decision-making
Effective communication
Teamwork and collaboration
Timeline
Medical Advisor
Halodoc
04.2023 - Current
Medical Coordinator
Global Assistance and Healthcare
06.2016 - 04.2023
Bachelor of Medicine -
Krida Wacana Christian University
04.2001 -
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