Pre Auth Service Consultant

Close Date: Not specified

Summary

Tracking Number BDD206P212

Job Title Pre Auth Service Consultant

Business Unit Discovery Health

Department Client Services

Location Kwa-zulu Natal

Type of Position Permanent

Key Purpose To give pre-authorisation information to members, brokers and all clients telephonically. To check the reasons for admissions are appropriate and confirm according to set protocols. 

Benefits of working for Extended Hours Call Centre include:

Inbound Call Centre

Working hours would be Monday to Friday 17h00 to 22h00

Depending on shift worked up to 2 days off are granted

Shift Allowance is paid over and above CTC Salary & Performance Based Incentive

NOTE:

Working hours on Saturday's, Sunday's & Public holidays are 08h00 to 17h00. 

Saturday work is compulsory for this position

Key Outputs All calls answered according to set standards 

Transfer calls only when no further assistance can be rendered 

Maintain accurate details of pre-authorization information 

Confirm scans according to set protocols 

Check validity of membership 

Ensure that the reason for admission is appropriate 

Requesting BHF/ ICD and CPT and motivation letters on pre-authorisation, when necessary 

Offer transfers to Smart Health Choice Line for members who need more medical information about medical procedures, etc. 

Follow- up urgent queries 

Capture messages on the system 

Give authorisation numbers for cases that are already loaded 

Provide product information to all Discovery clients in line with standards and protocols of the call centre 

Maintain confidentiality

Working hours 5pm - 10pm Monday to Friday

8am - 5pm Saturday & Sunday & Public Hoildays.

Saturdays are compulsory – Days Off will be granted. 

Competencies Assertive 

Committed 

Ability to cope with pressure 

Communicate clearly, concisely and professionally 

Display professional behaviour 

Uses listening skills to identify problems 

Receptive to client complaints and queries 

Flexible 

Qualifications & Experience ESSENTIAL: Registered Nursing qualification or Enrolled staff-nurse or Paramedic (Registered with HPCSA) 

Medical training 

6 months Call Centre Preferable 

Essential - MS Word; Outlook/ Outlook Express - intermediate level

Equity Statement

Preference will be given to applicants from designated groups and suitable internal candidates in line with Discovery’s policies.

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