Pre Auth

About the position

A well-established company is recruiting for a
PRE-AUTH
PRETORIA

What you will need?

• Enrolled/ Registered Nurse
• Valid registration with SANC

Skills and Competencies required:

• Minimum 2-3 years' experience in a similar role within a managed healthcare or medical scheme environment
• Sound knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e. ICD10's, CPT4, NRPL, PMB conditions and clinical protocols
• Thorough, well-grounded clinical knowledge of the pre-authorisation of hospital admissions (including Length of Stay and Level of Care), in-rooms procedures and other healthcare services requiring pre-authorisation
• Excellent telephonic and written communication capability within a call centre environment (will be tested)
• Computer literate (will be tested) - MIP Application System experience will be advantageous
• Customer service orientation
• Ability to liaise with external parties - clinicians and members - and to make decisions
• Demonstrated ability to effectively deal with emotionally charged and stressful situations
• Self-motivator and the ability to work effectively in an independent environment
• Good organisational and task prioritisation skills
• Outstanding multitasking skills
• Proficiency in English - written and verbal (an additional language will be advantageous)
• Ability to research and analyse information
• High degree of accuracy and attention to detail
• Compile and submit relevant reports in accordance with strict deadlines
• Results orientated
• Maintaining confidentiality of information

Please send your cv and supporting to [Email Address Removed].
If you have not received any feedback within 2 weeks please assume that your application was not successful

Desired Skills:

• pre auth
• nurse