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Medical Aid jobs in Gauteng

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    • Medical aid advisory: 3 years (Required).
    • Year end revision and medical scheme roadshows.
    • 3 years’ experience in medical insurance / Health Care Administration.
    • View all ASI Financial Services jobs - Johannesburg jobs - Medical Consultant jobs in Johannesburg, Gauteng
    • Salary Search: Medical Aid Member Consultant salaries in Johannesburg, Gauteng
    • Accurately allocate and update medical aid payments.
    • You will be required to capture high volumes of Medical aid payments and to collect outstanding monies from…
    • Medical aid : 3 years (Required).
    • ✔ Make clients feel supported.
    • ✔ Build relationships, not transactions.
    • ✔ Are easy to work with, for our clients and teammates…
    • Proven experience in the medical field and medical device sales.
    • The salary shall include travel allowances, medical aid, and any other benefits and will be…
    • Administration, coordination, monitoring, and reporting of Occupational Health and Safety compliance.
    • Manage health and safety committees and emergency…
    • ✅ 3–5 years' Healthcare (medical aid advice) experience.
    • Healthcare / medical insurance: 3 years (Required).
    • We're looking for an experienced Senior Consultant…
    • Good understanding of medical aid and PMB rules.
    • 1-2 years in a medical environment.
    • Maintain an up-to-date knowledge of medical aid rules, and ensure you…
    • Minimum 2–3 years' experience in healthcare administration, medical aid authorisations or patient funding.
    • Experience working with medical schemes, healthcare…
    • Knowledge of medical aid schemes, ICD-10 codes, CPT codes, procedure codes etc.
    • 2 years' relevant experience (ESSENTIAL).
    • Understanding of medical aid schemes.
    • The successful candidate will be responsible for medical aid accounts administration and medical claims billing.
    • Provide basic medical support or first aid as required.
    • Contract:* Full-Time, 48 Hours per Week (Day, Night & On-Call Shifts) – 1-Year Fixed Term.
    • Interpret and record medical surveillance findings and refer medical surveillance findings to Occupational Health Medical Practitioner.
    • Actively engage with multiple stakeholders and deliver service excellence.
    • Bachelor’s degree in the social sciences, psychology or related field.
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Job Post Details

Medical Aid Member Consultant - job post

ASI Financial Services
Johannesburg, Gauteng
Permanent, Full-time

Job details

Job type

  • Permanent
  • Full-time

Location

Johannesburg, Gauteng

Full job description

Job Purpose

Provide an effective and efficient conduit between ASI Financial Services (ASI) and its clients (i.e. members and appointed representatives of the organisation) through provision of advice, query resolution, administrative service, communication, training and education.

Key Responsibilities

  • Demonstrate a good understanding of the Employee Benefits (medical scheme, employee wellness programme, expatriation health benefits etc.) industry and the products available in the market
  • Conduct in-depth analysis of members’ financial needs and provide appropriate advice, record, save onto the CRM and provide member with a copy of the record of advice
  • Ensure that members understand the benefits, exclusions, administration processes and procedures of their appointed schemes/funds••Advise members who are leaving their employers (retirement/resignations) of their options (e.g. continuation, transfers to private capacity etc.) and refer them to an authorised financial planner for advice
  • Conduct and arrange onsite member assist sessions, inductions, and training sessions. Ensure meeting notes are sent out for these engagements
  • Year end revision and medical scheme roadshows

ADMINISTRATION AND QUERY MANAGEMENT

  • Attend to the resolution of members and/or employer queries. You are required to escalate complex queries to your senior consultant as soon as possible
  • Save client communication on internal drive, keep record of attendance register for training sessions, on-site session, queries received and option change forms
  • Request necessary data/information from schemes to support projects
  • Assist with resolution of billing discrepancies, membership compliance audits
  • Provide day to day assistance for general queries and updates on claims from members and HR
  • Assist HR with updated claim forms upon request
  • Persuade members to buy additional products to maximise their benefits (e.g. Vitality, Gap Cover, etc.)

Qualifications

  • Grade 12 Matric/ National Senior Certificate
  • FAIS Fit & Proper compliant (NQF Level 5, Regulatory Exams)
  • 3 years’ experience in medical insurance / Health Care Administration

Competencies

  • Exceptional written & verbal communication skills (English)
  • Customer-focused mindset
  • Problem Solving
  • Attention to detail
  • Deadline-driven

Job Types: Full-time, Permanent

Application Question(s):

  • Do you own a roadworthy vehicle?
  • What is your current salary CTC?
  • In-Office & 80% in front of client

Experience:

  • medical aid advisory: 3 years (Required)

License/Certification:

  • RE5 (Required)
  • Drivers Licence (Required)

Work Location: In person

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