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Healthcare Navigator

7 days ago

Durban, KwaZulu-Natal, South Africa Discovery Limited Full time

We value individuals who embody our core purpose of making people healthier and enhancing their lives.

About the Company

Discovery Limited is a leading health insurance company that seeks to deliver exceptional healthcare services to our members.

About the Role

The Hospital Benefit Specialist will play a vital role in ensuring that our members receive the appropriate level of care. Key responsibilities include:

  • Assessing cases based on clinical history, information, and coding supplied;
  • Managing benefits for members and mitigating risk through a thorough approval or decline process;
  • Discharge planning by providing members with alternatives for treatment; and
  • Effective communication with stakeholders, including providers, patients, and internal teams.
Key Skills and Qualifications

To be successful in this role, you will need to possess the following skills and qualifications:

  • A valid SANC registration;
  • 3 years of experience in a private hospital setting, preferably in ICU, trauma/casualty, medical/general ward;
  • 2 years of experience in managed healthcare; and
  • Strong Microsoft Office skills, specifically Excel.