Pre Auth Service Consultant

Sandton

Business:  Discovery Health
Function:  Client Service
Date:  02-Jun-2021

Key Purpose

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
 

Areas of responsibility may include but not limited to

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 principles
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
Personal Attributes and Skills

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 principles
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
Education and Experience

Matric
Any South African accredited clinical qualification
Knowledge of anatomy and physiology
At least 6 months working experience in a customer services or clinical environment
EMPLOYMENT EQUITY

The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.