Discovery: Pre Auth Service Consultant

Job 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

Principal Accountabilities

  • 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

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)

Education, Skills, Knowledge 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

How To Apply: Apply Online

Help friends share
  •  
  •  
  •  
  •  
error: Content is protected !!