Pre Auth Service Consultant

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

• Matric
• South African accredited Clinical qualification
• At least 6 months working experience in a customer services or clinical environment

Confirming benefits according to set protocols and funding rules

Accurately obtaining and capturing information to confirm correct funding

Servicing all key stakeholders telephonically and via other servicing channels until the query has been resolved

Servicing key stakeholders in a customer centric way to ensure that we live by our service principles

Keeping up to date with product changes and benefits to ensure that all key stakeholders are accurately serviced

Continuously staying abreast of all digital servicing tools within the business and ensuring that the functionality is fully understood

Achieving and exceeding key performance metrics relating to service delivery

Keeping abreast of continuous process, product updates and digital tools

Dealing with multiple interactions

Consistently utilizing all servicing tools available

Anatomy and Physiology