Pre-Auth Consultant

AfroCentric Group; Roodepoort; On-site; ZAR 30,000 - 60,000; Full time

Job summary

An established industry player is looking for a dedicated professional to join their team in a role that blends client service delivery, compliance, and risk management. This entry-level position requires a proactive individual who can engage with customers and stakeholders while ensuring exceptional service standards. The successful candidate will play a critical role in operational strategy implementation, financial management, and fostering a diverse and inclusive environment. If you are passionate about making a meaningful impact in the health and human services sector, this opportunity is perfect for you.

Qualifications

• 1-2 years experience in Managed Care Operations and Customer Servicing.
• Registered with SA Nursing Council required for this role.

Responsibilities

• Deliver exceptional service and maintain compliance with regulations.
• Contribute to cost savings and meet financial goals.

Skills

Problem solving and decision-making skills

Microsoft Suite

Customer Care

Strong written and verbal communication skills

Numerical Ability

Critical Thinking

Ability to build trust

Engagement Coping

Administration

Multi-Channel

Education

Registered in Nursing services

Tools

Microsoft Suite

Job description

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Direct message the job poster from AfroCentric Group

Human Capital Shared Service, Governance Risk and Technology

Location: Johannesburg – Roodepoort

Job Classification type: Permanent

Remuneration Package: Market Related

Join Our Talent Pool!

The AfroCentric Group is continuously on the lookout for individuals with expertise in the field indicated above. As part of the ongoing efforts to ensure the streamlined talent acquisition process, we are looking for a motivated, talented, and diverse team to make a meaningful impact to submit their applications. The qualifying candidates will be subjected to a fair Screening Process, Talent Pool Questionnaire and Pre-Employment Background Verifications.

Job Description

We are seeking a dedicated and detail-oriented professional to join our team in a multifaceted role that encompasses client service delivery, compliance and risk management, financial management, operational strategy implementation, leadership, and stakeholder management. The successful candidate will follow established procedures and collaborate with peers and leaders to ensure exceptional service delivery. They will maintain legal, statutory, and regulatory compliance at required standards, adhere to operational risk and governance structures, and proactively address issues. Additionally, the candidate will contribute to departmental cost savings to meet financial goals and targets. They will work with team members to meet delivery objectives, resolve operational performance variations, escalate unresolved issues, and ensure delivery targets are met in a supportive manner. Staying updated with operational changes, delivering to meet operational quality standards and departmental priorities, and identifying opportunities for continuous improvement are also key aspects of the role. The candidate will deliver personal performance within Human Capital frameworks, engage in development, coaching, and mentoring, support transformation through valuing diversity, and align behavior with Afrocentric values. Finally, they will maintain active and informative relationships with customers and stakeholders, addressing complaints in alignment with policies and procedures to ensure customer and stakeholder buy-in.

Experience and Qualifications

• 1-2 years Managed Care Operations Experience
• 1-2 years Customer Servicing Experience
• 2-3 years General and Surgical Ward Experience
• 1-2 years Managed Health Care Experience (Call Centre) Advantageous
• 1-2 years Trauma / ER Experience Advantageous
• Registered in Nursing services, plus registration with SA Nursing Council

Knowledge

• Customer service operations
• Health legislation and regulatory
• Health Care Environment and Facilities

Skills

• Problem solving and decision-making skills
• Microsoft Suite
• Customer Care
• Engagement Coping
• Strong written and verbal communication skills
• Administration
• Numerical Ability
• Critical Thinking
• Ability to build trust
• Multi-Channel

Seniority level

Entry level

Employment type

Full-time

Job function

Administrative, Customer Service, and Consulting

Industries

Health and Human Services and Insurance