Junior Pre-Auth Healthcare Specialist

2 months ago


Pretoria, Gauteng, South Africa Qetello Holdings Full time

Job Title: Junior Pre-Auth Healthcare Specialist

 

Job Summary:

We are seeking a talented and experienced Junior Pre-Auth Healthcare Specialist to join our team at Qetello Holdings. The ideal candidate will have a strong background in nursing and will be responsible for delivering cost-effective managed healthcare services primarily via email correspondence.

 

Key Responsibilities:

• 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 English and Afrikaans 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.

 

Requirements:

• Grade 12 qualification.

• Ambulance Assistant or Auxiliary Nurse.

• Active HPCSA/SANC Membership.

• Minimum 5 years clinical related experience.

 

Skills:

• Strong writing skills in English.

• Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook and Internet.

• Strong organisational skills, attention to detail and ability to prioritise.

• Strong negotiation skills.

• Language skills in English and strong interpersonal communication skills.

• Ability to work with people and be a team player.

• Caring attitude and behaviour.

• 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.

 

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, subsidised meals, free refreshments, Athletics Club, Pilates, and wellness programs.

• Dynamic team interactions, recognition programs, and incentives.



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