In-House Pre-Auth Service Consultant

Discovery Limited; Cape Town; On-site; ZAR 201,000 - 312,000; Full time

Job summary

Discovery Limited in Cape Town seeks an Inhouse Pre-Auth Service Consultant to deliver world-class service to Members, Providers, Employer groups, Hospitals, and Brokers. You will manage benefit authorisations using clinical knowledge and scheme rules, while handling queries via multiple servicing channels to resolution.

The role requires SA matric and a clinical qualification, with at least 6 months in customer service or clinical settings.

Qualifications

• Matric with SA accreditation
• South African accredited Clinical Qualification – HR to provide minimum requirement
• At least 6 months working experience in a customer services or clinical environment

Responsibilities

• Confirming Inhouse scheme benefits according to set protocols and funding rules
• Accurately obtaining and capturing information to confirm correct Inhouse scheme funding
• Servicing all Inhouse scheme stakeholders telephonically and via other servicing channels until the query is resolved
• Maintaining a customer-centric approach in line with service principles
• Keeping up to date with product changes and benefits to ensure accurate servicing
• Staying informed about digital servicing tools within the business
• Achieving and exceeding key performance metrics relating to service delivery
• Routing enquiries to correct departments and assisting with CRM queries

Skills

Time Management

Verbal and written communication

MS Office & Outlook

Education

Matric

South African accredited Clinical Qualification

Job description

Discovery Limited in Cape Town seeks an Inhouse Pre-Auth Service Consultant to deliver world-class service to Members, Providers, Employer groups, Hospitals, and Brokers. You will manage benefit authorisations using clinical knowledge and scheme rules, while handling queries via multiple servicing channels to resolution.

The role requires SA matric and a clinical qualification, with at least 6 months in customer service or clinical settings.