Pretoria: Pre-Authorisation Consultant – Enrolled Nurse posted by Medical Resources Group (Pty) Ltd

Our client is looking for a Pre-Auth Consultant (Enrolled Nurse) to deliver cost-effective managed healthcare services primarily via email correspondence, ensuring member satisfaction. The ideal candidate will have a Grade 12 qualification, Auxiliary Nursing certification, active SANC membership, a minimum of 5 years’ experience as a nursing practitioner, and at least 1 year of experience in the medical funding industry.

Functions:

• Employ negotiation skills to facilitate the pre-authorisation process.
• Maintain accurate record-keeping and documentation of pre-authorisation requests.
• Provide cost-effective managed healthcare services primarily through email correspondence.
• Utilise strong writing skills in English to effectively communicate with members.
• Utilise computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook, and Internet applications.
• Demonstrate strong organisational skills, attention to detail, and ability to prioritise tasks effectively.
• Maintain strong interpersonal communication skills and effectively work within a team environment.
• Demonstrate a caring attitude and behaviour towards members.
• Adapt to change and management decisions to achieve common goals.
• Utilise problem-solving techniques to address member queries and concerns.
• Provide training to staff on a continual basis and demonstrate leadership skills.
• Take responsibility for tasks and foster good interpersonal relationships with staff.

Requirements:

• Grade 12 qualification.
• Enrolled Nurse
• Active SANC Membership
• Minimum 5 years clinical related work experience

Skills:

• Strong writing skills
• Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook and Internet.
• Strong organizational skills, attention to detail and ability to prioritize.
• Strong negotiation skills
• Language skills and strong interpersonal communication skills.
• Ability to work with people and be team player.
• Caring attitude and behavior.
• Strong sense of self-esteem and confidence
• Flexibility in adapting to change and management decisions in order to achieve common goals.
• The application of problem-solving techniques.
• Ability of record keeping and documentation
• Prepared to train staff on continual basis
• Leadership skills.
• Taking responsibility, must have good interpersonal relationship with the staff

Remuneration:

• Competitive salary commensurate with experience.
• Exceptional benefits program including 23 days of annual leave, 8-hour workday with a 30min break, life cover, disability benefits, funeral cover, pension fund, medical aid, and more.
• Office perks: free parking, Wi-Fi, landline phone allowance, on-site gym, subsidized meals, free refreshments, Athletics Club, Pilates, and wellness programs.
• Dynamic team interactions, recognition programs, and incentives.

Join Our Client: Be part of a team that values innovation, quality service, and the well-being of its members. Apply today to contribute to a leading medical scheme’s success and make a difference in the lives of many.

Application Process: Interested candidates should submit their CV and cover letter, highlighting their experience related to the job functions and skills listed above to .za with REF Pre Auth. If you do not hear back from us within 2 weeks of applying, please consider your application unsuccessful