Medical Pre-Authorization Expert
3 days ago
**Our Mission**
\At Medical Resources Group, we strive to provide innovative solutions to our members while upholding the highest standards of quality service. As a Pre-Auth Consultant – Enrolled Nurse, you will play a vital role in ensuring the delivery of cost-effective managed healthcare services.
\About the Role:
\This is an exciting opportunity to join a dynamic team where you will utilise your clinical expertise and negotiation skills to facilitate the pre-authorisation process. You will be responsible for maintaining accurate record-keeping and documentation, providing cost-effective managed healthcare services primarily through email correspondence, and utilising strong writing skills in both Afrikaans and English to effectively communicate with members.
\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 Afrikaans and English 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.\
- Provide training to staff on a continual basis and demonstrate leadership skills.\
- Take responsibility for tasks and foster good interpersonal relationships with staff.\
Requirements:
\The ideal candidate will have a Grade 12 qualification, Enrolled Nurse certification, active SANC membership, and at least 5 years' experience as a nursing practitioner, as well as at least 1 year of experience in the medical funding industry.
\Skills and Qualifications:
\- \
- Strong writing skills in English.\
- Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook, and Internet applications.\
- 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 in record keeping and documentation.\
- Prepared to train staff on a continual basis.\
- Leadership skills.\
- Taking responsibility and maintaining good interpersonal relationships with staff.\
What We Offer:
\We offer a comprehensive benefits package, including a competitive salary, generous leave entitlements, and access to our state-of-the-art facilities. Join us today and take the first step towards a rewarding career in healthcare.
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