Talent Pool - Pre Auth Service Consultant

Discovery

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On-site
Deliver world class service
Support and fully resolve queries
Manage risk of in-hospital admissions
To deliver world class service to all Discovery Health Members, Providers, Employer groups, Hospitals, and Brokers by supporting and fully resolving their queries through various servicing channels, primarily over the telephone

Job Summary

  • To deliver world class service to all Discovery Health Members, Providers, Employer groups, Hospitals, and Brokers by supporting and fully resolving their queries through various servicing channels, primarily over the telephone.
  • To 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.
  • The successful applicant will be responsible for but not limited to confirming benefits according to set protocols and funding rules, accurately obtaining and capturing information to confirm correct funding, and servicing all key stakeholders telephonically and via other servicing channels until the query has been resolved.

Matching Summary

To deliver world class service to all Discovery Health Members, Providers, Employer groups, Hospitals, and Brokers by supporting and fully resolving their queries through various servicing channels, primarily over the telephone.

Skills & Requirements

Must-have

  • deliver world class service
  • support and fully resolve queries
  • manage risk of in-hospital admissions
  • confirming benefits according to set protocols
  • accurately obtaining and capturing information
  • customer centric way to ensure service principles
  • keeping up to date with product changes

Nice-to-have

  • smart, self-driven people
  • passionate about innovating
  • ignite positive and meaningful change

Key Requirements

  • Matric South African accredited Clinical Qualification
  • At least 6 months working experience in a customer services or clinical environment

Work Rights

Not specified

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