A reputable Medical Aid is seeking Pre-Authorisation Consultants to join their Call Centre team in Pretoria. (Office Hours, Mon-Friday)
Duties:
- Client Relations: Assist the client by approving appropriate funding.
- To deliver an effective Call centre service in order to achieve member satisfaction.
- Risk Management: Reduce the risk associated with hospital and authorized cases
- Telephone Etiquette: Answering telephone calls in a way that achieves member satisfaction.
- Verifying prosthesis limits: Contain costs for both members and fund.
- On-going training and development: Update your knowledge and skills in order to deliver a cost-effective and professional service.
- To ensure that the actual benefit expenditure per beneficiary, per month, for hospitalization, should be less than the budget benefit expenditure
- Pre-authorization should be granted within the option benefits, Scheme and clinical protocols.
- Effective Customer Service delivery.
Requirements:
- Grade 12
- SANC Registered Nurse
- 5 Years Clinical Nursing experience (After completing Community Service) within Theatre/ ICU/ Trauma wards
- 1 year Medical Aid Scheme industry experience (Advantageous)
- Computer Literate (MS Office/Internet/Email)
- Excellent Communication Skills
Job Types: Full-time, Permanent
Application Question(s):
- What is your monthly salary expectation? (Before deductions)
- Are you 100% Computer Literate? (MS Office / Internet / Email)
- Are you willing to be based and work in Pretoria? (This role is office based, in Pretoria)
- Do you have a minimum of 5 years experience in (Theatre/ICU/Trauma) after completing your Community Service?
License/Certification:
- SANC (Required)
Work Location: In person