Post Basic Pharmacist Assistant

Private Health Administrators (Pty) LtdCenturion, Gauteng, South Africa

24 days ago

Job description

Location : Centurion, Gauteng

Position Purpose : To ensure the accurate processing of medicine claims according to client specifications.

Experience : Minimum of 1 year experience with capturing medicines in a DUR / PHB environment with 2-3 years previous working experience within a Managed Care environment (Essential).

Qualifications : Post Basic Pharmacist Assistant. Registration with SAPC.

Key Responsibilities

Provide Quality services to members and providers
All medicine queries completed timeously
Ensure all applications and requests are captured timeously
Accurate capturing of new prescription, acute and chronic medication or private claim
Correct handling of rejection within SOP and Formulary items and authorisations
Support management with tasks and initiatives beneficial to the sections and Schemes
Assist with tracking
Claims – submission codes, pricing and reference pricing
Scheme option and benefit design, scheme and funding rules
Outbound calling projects
To assist principal Pharmacist with clinical application and prescription reviewing
Chronic and Prescribed Minimum Benefit Authorisations
Provide Quality services to members
Ensure all applications and requests are captured
Support management and other managers in tasks and initiatives beneficial to the sections

Skills & Abilities

Excellent verbal and written communication skills

Analytical, systematic and detail orientated

Have a professional and positive attitude

Interpersonal and customer-orientated service skills

Ability to work independently and in a multidisciplinary project team

Ability to handle pressure and difficult situations

Ability to work under set deadlines – time management is critical

Be responsible and able to maintain confidentiality

Be able to make decisions

Good analytical and problem-solving abilities

Good communication and interpersonal skills

Good organisational and administrative skills

Ability to meet tight deadlines

Knowledge

Sound knowledge of the Medical Schemes

Good knowledge of various legislation concerning medical schemes, health insurance, PMBs, and other healthcare

Sound knowledge of the pharmacy / pharmaceutical industry

Note : Company reserves the right to close the advert before specified closing date.

PHA has its head office in Westville, KwaZulu-Natal. It operates country-wide with a nationally linked network and uses a robust, flexible, as well as integrated system to ensure efficient and effective administration of membership and benefits.

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Pharmacist Assistant • Centurion, Gauteng, South Africa