Pre Auth Service Consultant - Talent Pool

Discovery

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On-site
Deliver world class service
Resolve member queries telephonically
Manage risk of in-hospital admissions
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

  • 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.
  • 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 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

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
  • Resolve member queries telephonically
  • Manage risk of in-hospital admissions
  • Confirm benefits according to protocols
  • Accurately capture funding information
  • Customer centric service delivery

Nice-to-have

  • Continuous learning of product changes
  • Stay abreast of digital servicing tools
  • Exceed key performance metrics
  • Collaborate effectively with colleagues

Key Requirements

  • Matric South African accredited Clinical Qualification
  • At least 6 months customer services or clinical experience
  • Knowledge of Anatomy and Physiology
  • Time Management skills
  • Verbal and written communication skills

Work Rights

Not specified

Tailored Resume

Cover Letter