Management of the ISS-2001 and SOAT rates, registration, analysis and response to the different glosses of the entities with which they had a contract, taking into account the legal regulations of the Single Manual of Glosses. Make monthly reports of the accepted and supported glosses, conciliation management with the different entities such as EPS Sanitas, Famisanar, Nueva Eps, Total Health among other entities with which a contract is held. Management of Excel intermediate.
Major achievementReduction of glosses and errors in contracting
Carry out a review of the clauses of the contracts made with the clients, monitoring and verifying the compliance with the stipulated with the same. Respond in a timely and appropriate manner to the requirements and requests made by the client, providing efficient and effective solutions and responses. Carry out a monthly review of the documentation of complaints and claims presented in each of the contracts to verify the completion of the Quality records. Perform the
Major achievementDecrease in PQR'S complaints
Address user concerns, properly manage resources (human or environmental) to channel an effective response to customer requests, follow up on incidents presented by the customer. Analysis of the incidents (PQRS) and measurement of the indicators in accordance with the proposed solutions.