Junior Pre-Auth Healthcare Specialist
2 weeks ago
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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