Temporary Pre-Auth Service Agent MMH251121-22

Momentum; Gqeberha; On-site; ZAR 50 000 - 200 000; Part time

Job summary

A leading healthcare service provider in Gqeberha is looking for a Temporary Pre‑Auth Service Agent to effectively support the Pre-Authorisation Team. This entry-level part-time role requires a National Senior Certificate, two years' experience in a medical scheme client services environment or a relevant health-related qualification. Candidates must have proficiency in MS 365 and should be skilled in customer service. Key duties include pre-authorising medical services and maintaining excellent client relationships.,

Qualifications

• National Senior Certificate is essential; Life Sciences as a Grade 12 subject is advantageous.
• Two years’ experience in a medical scheme client services environment preferred.
• MS 365 proficiency is essential.

Responsibilities

• Pre-authorisation of specialist visits and medical appliances.
• Ensure all authorisations are completed within service level agreement.
• Enhance member experience by providing exceptional customer service.

Skills

Customer service principles

MS 365 proficiency

ICD-10 coding exposure

Education

National Senior Certificate

Health-related tertiary qualification

Job description

Temporary Pre‑Auth Service Agent MMH251121-22

Role Purpose

To effectively contribute to the Pre-Authorisation Team by ensuring that key performance indicators and service level agreements are met and that all specialist visits and in-room procedures are authorised according to protocol.

Requirements

• A National Senior Certificate is essential (Life Sciences as a Grade 12 subject is advantageous)
• Two years’ experience in a medical scheme client services environment with proven knowledge of customer service principles and practices is essential, alternatively a relevant health-related tertiary qualification including, but not limited to BA Psychology, Biokinetics, Human Science etc.
• Exposure to claims and ICD-10 coding would be an added advantage
• MS 365 proficiency is essential

Duties and Responsibilities

• Pre-authorisation of specialist visits, specialised radiology, medical appliances and oxygen according to protocol.
• Ensure all authorisations are completed within the specified service level agreement.
• Accurate and comprehensive record keeping on the relevant system.
• Report compilation and analysis.
• Enhance member experience by providing exceptional customer service.
• Develop and maintain productive and collaborative working relationships with peers, clients and stakeholders.

Seniority level

Entry level

Employment type

Part-time

Job function

Other

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