Pre-authorisation Consultant

2 weeks ago


Johannesburg, South Africa Medpharm Recruitment Full time

A reputable Managed Healthcare is seeking Pre-Authorisation Consultants to join their team.

**Duties**:

- Working in a Call Centre environment, as a Pre-authorisation Consultant.
- Answering calls and providing authorisation for hospitalization and clinical procedures.
- Ensure adherence to Scheme Rules on all Hospital Authorisations and clinical updates.
- Ensure correct allocation of facilities for Members.
- Effective handling of Internal/External Clinical Queries
- Communicate with Members and Service Providers to address hospital utilisation matters.

**Requirements**:

- Matric / Grade 12
- South African born Citizen
- Enrolled Nurse (SANC)
- Experience working in the Private Hospital (Wards: Medical, Surgical and Emergency Room (Minimum 5 years)
- Excellent business writing and communication skills
- Excellent telephone etiquette
- Good time management and administration skills
- Ability to effectively handle conflict to work under pressure.
- Team player
- Ability to commute to office on a daily basis

**Job Types**: Full-time, Permanent

Application Question(s):

- Are you willing to travel to and from Office on a daily basis?
- What is your salary expectation? (Before deductions) Bearing in mind this role offers Medical Aid and Pension Fund, which forms part of the Cost to Company.

**Education**:

- Diploma (required)

**Experience**:

- Private Hospital: 3 years (required)
- Medical, Surgical and ER: 3 years (required)

License/Certification:

- SANC (required)



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