Chief Health Benefit Coordinator

1 month ago


Pretoria, Gauteng, South Africa Qetello Holdings Full time

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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