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Pre-Auth Consultant

Pre-Auth Consultant

AfroCentric GroupRoodepoort, Gauteng, South Africa
30+ days ago
Job description

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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

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    Consultant • Roodepoort, Gauteng, South Africa