Hospital Benefits Specialist - Care Coordination Pro

Medical Aid, Bank, Insurance, Invest & Vitality; Durban; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A leading health services provider in KwaZulu-Natal is looking for a Hospital Benefit Specialist. The role involves assessing clinical cases, managing funding decisions, and effective communication with stakeholders. Candidates must be registered nurses with SANC registration and possess clinical experience. This full-time role is vital in ensuring members receive appropriate care while managing healthcare resources effectively.

Qualifications

• Must be a Registered Nurse with valid SANC registration.
• 3 years clinical experience in a private hospital setting preferred.
• Effective communication skills are vital.

Responsibilities

• Assess the case regarding members' clinical history and benefit structure.
• Manage funding decisions and communicate effectively with all stakeholders.
• Attend to patients on daily reports and review admission requests.

Skills

Effective Communication Skills

Active Listening Skills

Microsoft Excel

Clinical coding knowledge of ICD-10

Telephone Etiquette

Education

Matric

Registered Nurse

Valid SANC Registration

3 years Clinical experience in private hospital

2 years Managed health care experience

Tools

Microsoft Office

Job description

A leading health services provider in KwaZulu-Natal is looking for a Hospital Benefit Specialist. The role involves assessing clinical cases, managing funding decisions, and effective communication with stakeholders. Candidates must be registered nurses with SANC registration and possess clinical experience. This full-time role is vital in ensuring members receive appropriate care while managing healthcare resources effectively.