Corporate and Insurance Doctor (Palangkaraya)

We are looking for a medical doctor who is passionate about bridging clinical services, insurance management, and corporate healthcare partnerships. This role plays a critical part in ensuring patient safety, service compliance, and strong relationships with insurance and corporate partners.

Key Responsibilities

As a Corporate & Insurance Doctor, you will:

• Collaborate closely with clinicians to manage insured and corporate-guaranteed patient services

• Ensure alignment between clinical services and insurance or corporate agreements

• Provide medical support in the socialization and implementation of updated regulations to clinicians and administrative teams

• Handle and negotiate problematic insurance claims with payers from a medical perspective

• Identify and resolve issues that may pose risks to patient safety or hospital reputation

• Conduct data analysis and escalate key issues through regular coordination with the Head of AMA

• Prepare and review Initial Medical Reports (LMA) and Follow-Up Medical Reports (LML) for discharged patients

• Ensure completeness and accuracy of insurance documentation for outpatient and inpatient services

• Support validation of medical supporting documents, including diagnostics and procedures

• Ensure daily medical reports from EMR are completed accurately

• Assist in documentation readiness for care transitions from Outpatient Services to Pre-Operative Clinic (POC)

Requirements

• Medical Doctor (MD / dr.) with an active STR and valid SIP (or willing to process SIP as required)

• Minimum 3–5 years of clinical experience, preferably in a hospital setting

• Experience or strong exposure in insurance, corporate accounts, medical assurance, or managed care is highly preferred

• Good understanding of health insurance processes, including medical claims, LMA/LML, and coordination with payers

• Strong ability to collaborate with clinicians, administrative teams, and insurance partners

• Capable of handling claim negotiations and resolving complex cases from a medical perspective

• Strong analytical skills to identify risks related to patient safety, service quality, and hospital reputation

• Detail-oriented, assertive, and able to communicate clearly in multidisciplinary forums

• Willing to work in a corporate–hospital hybrid role with both clinical and non-clinical stakeholders