Temporary Pre-Auth Service Agent

6 days ago

Port Elizabeth, Eastern Cape, South Africa Momentum Group Limited Full time R140 000 - R250 000 per year
Introduction

Through our client-facing brands Momentum Group, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members.



Role Purpose

To effectively contribute to the Pre-Authorisation Team by ensuring that key performance indicators and service level agreements are met and that all specialist visits and in-room procedures are authorised according to protocol.



Duties & Responsibilities
  • Pre-authorisation of specialist visits, specialised radiology, medical appliances and oxygen according to protocol.
  • Ensure all authorisations are completed within the specified service level agreement.
  • Accurate and comprehensive record keeping on the relevant system.
  • Report compilation and analysis.
  • Enhance member experience by providing exceptional customer service.
  • Develop and maintain productive and collaborative working relationships with peers, clients and stakeholders.


Requirements
  • A National Senior Certificate is essential (Life Sciences as a Grade 12 subject is advantageous)
  • Two years' experience in a medical scheme client services environment with proven knowledge of customer service principles and practices is essential, alternatively a relevant health-related tertiary qualification including, but not limited to BA Psychology, Biokinetics, Human Science etc.
  • Exposure to claims and ICD-10 coding would be an added advantage
  • MS 365 proficiency is essential


Competencies
  • Excellent communication skills - verbal and written
  • Accountability
  • Time management
  • Attention to detail
  • Interpersonal skills
  • Ability to build rapport 
  • Customer orientation and results driven
  • Empathetic nature
  • Teamwork and cooperation
  • Business administration skills

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