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 *****@*****.co.za with REF Pre Auth. If you do not hear back from us within 2 weeks of applying, please consider your application unsuccessful