Pre Auth Service Consultant – Talent Pool

Cape Town

Business:  Discovery Health
Function:  Call Center / Contact Center
Date:  03-Apr-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

Key outputs

The successful applicant will be responsible for but not limited to the following job functions:

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
Keeping abreast of continuous process, product updates and digital tools
Dealing with multiple interactions
Consistently utilizing all servicing tools available
Competencies and Skills

Behavioural Competencies

Following instruction and procedures (Self-development)
Analysing  (Managing Complexity)
Learning and Researching (Nimble Learning)
Presenting and communicating information (Communicating effectively)
Delivering results and meeting customer expectations (Customer focus)
Deciding and initiating action (Decision Quality)
Working with people (Collaborating)
Writing and reporting (Communicating effectively)
Knowledge

Anatomy and Physiology
Skills

Time Management
Verbal and written communication
Personal Attribute and Skills:

Customer Centric
Knowledge of Anatomy and Physiology
Time Management
Education and Experience

Education:

Matric
South African  accredited Clinical Qualification
Experience

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.

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.