Pre Authorisation Consultant (medical Aid Scheme) Icu/theatre/trauma Rn

Pretoria, GP, ZA, South Africa

Job Description

A reputable Medical Aid is seeking Pre-Authorisation Consultants to join their Call Centre team in Pretoria. (Office Hours, Mon-Friday)

Duties:



Client Relations:

Assist the client by approving appropriate funding. To deliver an effective Call centre service in order to achieve member satisfaction.

Risk Management:

Reduce the risk associated with hospital and authorized cases

Telephone Etiquette

: Answering telephone calls in a way that achieves member satisfaction.

Verifying prosthesis limits:

Contain costs for both members and fund.

On-going training and development

: Update your knowledge and skills in order to deliver a cost-effective and professional service. To ensure that the actual benefit expenditure per beneficiary, per month, for hospitalization, should be less than the budget benefit expenditure Pre-authorization should be granted within the option benefits, Scheme and clinical protocols. Effective Customer Service delivery.

Requirements:



Grade 12 SANC Registered Nurse 5 Years Clinical Nursing experience (After completing Community Service) within Theatre/ ICU/ Trauma wards

1 year Medical Aid Scheme industry experience (Advantageous)

Computer Literate (MS Office/Internet/Email) Excellent Communication Skills
Job Types: Full-time, Permanent

Application Question(s):

What is your monthly salary expectation? (Before deductions) Are you 100% Computer Literate? (MS Office / Internet / Email) Are you willing to be based and work in Pretoria? (This role is office based, in Pretoria) Do you have a minimum of 5 years experience in (Theatre/ICU/Trauma) after completing your Community Service?
License/Certification:

SANC (Required)
Work Location: In person

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Job Detail

  • Job Id
    JD1481625
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Pretoria, GP, ZA, South Africa
  • Education
    Not mentioned