Job Description
Full details about the role and requirements
Yukerja Summary
The Corporate and Insurance Doctor (Palangkaraya) role at Siloam Hospitals Group is curated from JobStreet (category Kesehatan). Note the work location (Palangkaraya, Central Kalimantan) before applying. Yukerja.com is not the employer — applications are handled on the official source site.
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