Pre-Authorisation Service Consultant

SUMMARY:
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POSITION INFO:

Key Purpose of the role:

The incumbent will deliver world class service to all Service Provider's Members, Providers, Employer groups, Hospitals, and Brokers by supporting and fully resolving their queries through various servicing channels, primarily over the telephone. Effectively manage the risk of in-hospital admissions by using your clinical knowledge and integrating this with your understanding of the benefits of the scheme and ensuring accurate information regarding funding Key outputs. The successful applicant will be responsible for but not limited to the following job functions:

• Confirming benefits, according to set protocols and funding rules
• Accurately obtaining and capturing information to confirm correct funding.
• Servicing all key stakeholders telephonically and via other servicing channels until the query has been resolved.
• Servicing key stakeholders in a customer centric way to ensure that we live by our service principles.
• Keeping up to date with product changes and benefits to ensure that all key stakeholders are accurately serviced.
• Continuously staying abreast of all digital servicing tools within the business and ensuring that the functionality is fully understood.
• Achieving and exceeding key performance metrics relating to service delivery.
• Keeping abreast of continuous process, product updates and digital tools
• Dealing with multiple interactions
• Consistently utilizing all servicing tools available

Competencies and Skills Behavioural Competencies

• Following instruction and procedures 
• Analysing 
• Learning and Researching 
• Presenting and communicating information effectively
• Customer focused - Delivering results and meeting customer expectations 
• Deciding and initiating action 
• Working with people 
• Writing and reporting 
• Time Management
• Verbal and written communication

Personal Attributes and Skills:

• Customer Centric
• Knowledge of Anatomy and Physiology

Education and Experience:

• Matric – English, math or accounting as subjects 
• South African accredited Clinical Qualification 
• At least 6 months working experience in a customer service or clinical environment.

NB! This job is now closed. You can apply for other jobs by uploading your CV.