Reporting to the Team Leader performance areas include, but are not limited to:
- Pre-authorisation of specialist visits, specialised radiology, medical appliances, and oxygen according to protocol.
- Ensure all authorisations are completed within the specified service level agreement.
- Accurate and comprehensive record keeping on the relevant system.
- Report compilation and analysis.
- Enhance member experience by providing exceptional customer service.
- Develop and maintain productive and collaborative working relationships with peers, clients, and stakeholders.
- Matric essential. Must have Life Sciences.
- Two years experience in a medical scheme client services environment with proven knowledge of customer service principles and practices is essential, alternatively a relevant health-related tertiary qualification including, but not limited to BA Psychology, Biokinetics, Human Science etc.
- Exposure to claims and ICD-10 coding would be an added advantage.
- MS Office proficiency.
- Open to SA citizens with a clear criminal and credit history.
- Must be well presented and have stature as he/she will be dealing with top management of the national building companies.
- Must possess an ownership mentality and a willingness to take responsibility for tasks through to completion.
- Attention to detail, goal orientated and a desire to achieve your objectives.
- Highly organised, good at multi-tasking.
- Excellent communication skills - verbal and written.
- Accountability.
- Time management.
- Attention to detail.
- Interpersonal skills.
- Ability to build rapport.
- Customer orientation and results driven.
- Empathetic nature.
- Teamwork and cooperation.
- Business administration skills.
Profile: Healthcare
Career Level: 2+ Years
Employment: Permanent, full-time
E.E. / Non-EE: EE Only
Working Hours: Monday to Friday 08H00 - 17hH00
Remuneration: Market related basic + Medical Aid, Provident Fund and 13th Cheque.
Short listed candidates may be expected to complete and pass assessments before moving to the next stage of the recruitment process.
Should you not be contacted within two weeks, please consider your application unsuccessful. Pre-Auth Service Agent.
