Pre-Auth Consultant

5 days ago

Roodepoort, South Africa AfroCentric Group Full time

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from AfroCentric Group Human Capital Shared Service, Governance Risk and Technology Location: Johannesburg – Roodepoort Job Classification type: Permanent Remuneration Package: Market Related Join Our Talent Pool The AfroCentric Group is continuously on the lookout for individuals with expertise in the field indicated above. As part of the ongoing efforts to ensure the streamlined talent acquisition process, we are looking for a motivated, talented, and diverse team to make a meaningful impact to submit their applications. The qualifying candidates will be subjected to a fair Screening Process , Talent Pool Questionnaire and Pre-Employment Background Verifications. Job Description We are seeking a dedicated and detail-oriented professional to join our team in a multifaceted role that encompasses client service delivery, compliance and risk management, financial management, operational strategy implementation, leadership, and stakeholder management. The successful candidate will follow established procedures and collaborate with peers and leaders to ensure exceptional service delivery. They will maintain legal, statutory, and regulatory compliance at required standards, adhere to operational risk and governance structures, and proactively address issues. Additionally, the candidate will contribute to departmental cost savings to meet financial goals and targets. They will work with team members to meet delivery objectives, resolve operational performance variations, escalate unresolved issues, and ensure delivery targets are met in a supportive manner. Staying updated with operational changes, delivering to meet operational quality standards and departmental priorities, and identifying opportunities for continuous improvement are also key aspects of the role. The candidate will deliver personal performance within Human Capital frameworks, engage in development, coaching, and mentoring, support transformation through valuing diversity, and align behavior with Afrocentric values. Finally, they will maintain active and informative relationships with customers and stakeholders, addressing complaints in alignment with policies and procedures to ensure customer and stakeholder buy-in. Experience and Qualifications 1-2 years Managed Care Operations Experience 1-2 years Customer Servicing Experience 2-3 years General and Surgical Ward Experience 1-2 years Managed Health Care Experience (Call Centre) Advantageous 1-2 years Trauma / ER Experience Advantageous Registered in Nursing services, plus registration with SA Nursing Council Knowledge Customer service operations Health legislation and regulatory Health Care Environment and Facilities Skills Problem solving and decision-making skills Microsoft Suite Customer Care Engagement Coping Strong written and verbal communication skills Administration Numerical Ability Critical Thinking Ability to build trust Multi-Channel Seniority level Entry level Employment type Full-time Job function Administrative, Customer Service, and Consulting Industries Health and Human Services and Insurance #J-18808-Ljbffr

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