Chief Health Benefit Coordinator
1 month ago
Overview
We are a dynamic medical scheme seeking a skilled Chief Health Benefit Coordinator to join our team. In this role, you will be responsible for delivering cost-effective managed healthcare services primarily via email correspondence.
Job Summary
The successful candidate will have a Grade 12 qualification, Auxiliary Nursing certification, active SANC membership, a minimum of 5 years' experience as a nursing practitioner, and at least 1 year of experience in the medical funding industry.
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.
- Provide training to staff on a continual basis and demonstrate leadership skills.
- Take responsibility for tasks and foster good interpersonal relationships with staff.
Requirements:
- Grade 12 qualification.
- Ambulance Assistant or Auxillary Nurse.
- Active HPCSA/SANC Membership.
- Minimum 5 years clinical related experience Work Experience.
Salary and Benefits
The successful candidate can expect a competitive salary commensurate with experience, along with an 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.
Work Environment
Our office offers a dynamic team interaction, recognition programs, and incentives. We value innovation, quality service, and the well-being of our members. If you are a motivated individual looking to make a difference in the lives of many, we encourage you to apply.
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