Jobseeker

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, Nursing Qualification, 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.

·        Nursing Qaulification

·        Active 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.