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    • A reputable Medical Aid Scheme is seeking Pre-Auth Consultants to service their Members, Providers, Employer groups, hospitals and Brokers.
    • View all Medpharm Recruitment jobs - Port Elizabeth jobs - Prior Authorization Specialist jobs in Port Elizabeth, Eastern Cape 6017
    • Salary Search: Pre-Authorisation Consultant (Call Centre) Medical Aid Scheme (PE) salaries in Port Elizabeth, Eastern Cape 6017
    • Provide high-level information regarding medical procedures and consultation processes.
    • Operating across multiple healthcare sectors, including bariatric…
    • Call centre agents handle calls, resolve inquiries, and maintain customer satisfaction.
    • Log all calls on BPM.
    • Assess claim documents and determine validity.
    • Administration - demonstrates an ability to adhere to administrative call procedures with speed and accuracy and updates customer details, summarises comments…
    • Manage contact centre operations in a fiscally responsible manner.
    • Minimum five years' experience supervising within a healthcare contact centre, medical…
    • Log calls for hospital staff and patients.
    • Log calls for faulty lines and switchboard.
    • Facilitate telephone calls in and out of the department.
    • To deliver world class service to all Discovery Health Members, Providers, Employer groups, and Brokers by supporting and fully resolving their queries through…
    • We are seeking Patient Intake Agents who are skilled in intake and scheduling work, with our USA based clients, providing high quality administration and…
    • Minimum 1–2 years’ experience in a call centre sales environment (life insurance sales advantageous).
    • Sell Dis-Chem Life products to customers via inbound and…
    • The Call Centre Supervisor is responsible and accountable for the management of the Call Centre, proper functioning of operations, strategy planning and…
    • Handling incoming and overflow calls.
    • Previous experience in customer service, outbound calling, appointment booking, telesales or a call centre.
    • Job Description: The intake agent will receive and review the fax images and start data entry in the system.
    • Validate and verify the provider and member using…
    • Experience in financial distribution sales and servicing, specifically in a call centre environment.
    • Nursing or medical background experience.
    • Responds to, manages, and resolves phone calls that come through the support line and any other incoming or outgoing calls related to providing customer support…
    • To efficiently execute all operational activities of the call centre and administration in line with SAPC regulations and company standards.

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Pre-Authorisation Consultant (Call Centre) Medical Aid Scheme (PE)
Port Elizabeth, Eastern Cape 6017
R21 000 - R25 000 a month
Permanent

Job details

Here’s how the job details align with your profile.

Pay

R21 000 - R25 000 a month

Job type

Permanent

Full job description

A reputable Medical Aid Scheme is seeking Pre-Auth Consultants to service their Members, Providers, Employer groups, hospitals and Brokers. In this role you will resolve their queries through various servicing channels, primarily over the phone.

Duties:

  • 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 principals
  • 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

Requirements:

  • Matric/Grade 12
  • Clinical Qualification (Completed 1st Year Anatomy & Physiology)
  • Matric English (Obtained 50% or higher)
  • Matric Pure Maths or Maths Lit (Obtained 50% or higher)
  • Computer Literate (MS Office / Internet / Email)
  • 6 Months experience within Customer Service or a Clinical setting

Pay: R21 000,00 - R25 000,00 per month

Application Question(s):

  • Have you studied and completed 1 year in Physiology & Anatomy?
  • Have you obtained at least 50% in Matric Maths and English?
  • Are you able to work and live in PE? (This is an office-based role in a corporate setting)
  • Are you 100% comfortable using a PC or laptop? (MS Office / Internet / Email)
  • What is your monthly salary expectation? (before deductions)

Work Location: In person

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