Our client is looking for a Junior Pre-Auth Consultant (HBM) to deliver cost-effective managed healthcare services primarily via email correspondence, ensuring member satisfaction. The ideal candidate will have a Grade 12 qualification, Auxiliary Nursing certification, active SANC membership, a minimum of 5 years' experience as a nursing practitioner, and at least 1 year of experience in the medical funding industry.
Functions:
- Employ negotiation skills to facilitate the pre-authorisation process.
- Maintain accurate record-keeping and documentation of pre-authorisation requests.
- Provide cost-effective managed healthcare services primarily through email correspondence.
- Utilise strong writing skills in both Afrikaans and English to effectively communicate with members.
- Utilise computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook, and Internet applications.
- Demonstrate strong organisational skills, attention to detail, and ability to prioritise tasks effectively.
- Maintain strong interpersonal communication skills and effectively work within a team environment.
- Demonstrate a caring attitude and behaviour towards members.
- Adapt to change and management decisions to achieve common goals.
- Utilise problem-solving techniques to address member queries and concerns.
- Provide training to staff on a continual basis and demonstrate leadership skills.
- Take responsibility for tasks and foster good interpersonal relationships with staff.
Requirements:
- Grade 12 qualification.
- Ambulance Assistant or Auxillary Nurse
- Active HPCSA/SANC Membership
- Minimum 5 years clinical related experience Work Experience
Skills:
- Strong writing skills in English
- Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook and Internet.
- Strong organizational skills, attention to detail and ability to prioritize.
- Strong negotiation skills
- Language skills in English and strong interpersonal communication skills.
- Ability to work with people and be team player.
- Caring attitude and behavior.
- Strong sense of self-esteem and confidence
- Flexibility in adapting to change and management decisions in order to achieve common goals.
- The application of problem-solving techniques.
- Ability of record keeping and documentation
- Prepared to train staff on continual basis
- Leadership skills.
- Taking responsibility, must have good interpersonal relationship with the staff
Remuneration:
- Competitive salary commensurate with experience.
- Exceptional benefits program including 23 days of annual leave, 8-hour workday with a 30min break, life cover, disability benefits, funeral cover, pension fund, medical aid, and more.
- Office perks: free parking, Wi-Fi, landline phone allowance, on-site gym, subsidized meals, free refreshments, Athletics Club, Pilates, and wellness programs.
- Dynamic team interactions, recognition programs, and incentives.
Join Our Client: Be part of a team that values innovation, quality service, and the well-being of its members. Apply today to contribute to a leading medical scheme's success and make a difference in the lives of many.
Application Process:
