Junior Pre-Auth Consultant: HBM

3 months ago

Pretoria, South Africa Qetello Holdings Full time

Our client is looking for a Junior Pre-Auth Consultant (HBM) to deliver cost-effective managed healthcare services primarily via email correspondence, ensuring member satisfaction. The ideal 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.

Functions:

  • 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:

  • Grade 12 qualification.
  • Ambulance Assistant or Auxillary Nurse
  • Active HPCSA/SANC Membership
  • Minimum 5 years clinical related experience Work Experience

Skills:

  • Strong writing skills in English
  • Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook and Internet.
  • Strong organizational skills, attention to detail and ability to prioritize.
  • Strong negotiation skills
  • Language skills in English and strong interpersonal communication skills.
  • Ability to work with people and be team player.
  • Caring attitude and behavior.
  • 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 of record keeping and documentation
  • Prepared to train staff on continual basis
  • Leadership skills.
  • Taking responsibility, must have good interpersonal relationship with the staff

Remuneration:

  • Competitive salary commensurate with experience.
  • 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.
  • Office perks: free parking, Wi-Fi, landline phone allowance, on-site gym, subsidized meals, free refreshments, Athletics Club, Pilates, and wellness programs.
  • Dynamic team interactions, recognition programs, and incentives.

Join Our Client: Be part of a team that values innovation, quality service, and the well-being of its members. Apply today to contribute to a leading medical scheme's success and make a difference in the lives of many.

Application Process: Interested candidates should submit their CV and cover letter, highlighting their experience related to the job functions and skills listed above to recruitment1@medicalresources.co.za with REF Pre Auth. If you do not hear back from us within 2 weeks of applying, please consider your application unsuccessful.

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