Discovery Careers Port Elizabeth – Pre Auth Service Consultant

Job Description:

To deliver world class service to all Discovery Health Members, Providers, Employer groups, Hospitals, and Brokers by supporting and fully resolving their queries through various servicing channels, primarily over the telephone.
To effectively manage the risk of in-hospital admissions by using your clinical knowledge and integrating this with your understanding of the benefits of the scheme and ensuring accurate information regarding funding

Job Responsibilities:

• Keeping up to date with product changes and benefits to ensure that all key stakeholders are accurately serviced
• Servicing key stakeholders in a customer centric way to ensure that we live by our service principles
• Continuously staying abreast of all digital servicing tools within the business and ensuring that the functionality is fully understood
• Keeping abreast of continuous process, product updates and digital tools
• Confirming benefits according to set protocols and funding rules
• Dealing with multiple interactions
• Accurately obtaining and capturing information to confirm correct funding
• Achieving and exceeding key performance metrics relating to service delivery
• Consistently utilizing all servicing tools available
• Servicing all key stakeholders telephonically and via other servicing channels until the query has been resolved

Job Requirements:

• Analysing (Managing Complexity)
• Working with people (Collaborating)
• Delivering results and meeting customer expectations (Customer focus)
• Following instruction and procedures (Self-development)
• South African accredited Clinical Qualification
• Time Management
• Matric
• Learning and Researching (Nimble Learning)
• Writing and reporting (Communicating effectively)
• Deciding and initiating action (Decision Quality)
• Customer Centric
• Presenting and communicating information (Communicating effectively)
• Knowledge of Anatomy and Physiology
• At least 6 months working experience in a customer services or clinical environment

Job Details:

Company: Discovery Limited

Vacancy Type:  Full Time

Job Location: Port Elizabeth

Application Deadline: N/A

Apply Here

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