- Administer PMB and CDL treatment plan authorizations.
- Prepare, refer, and finalise PMB applications for members, including those in hospital.
- Ensure accurate and efficient administration of PMB processes.
- Collaborate with healthcare providers and internal teams to facilitate PMB authorisations.
- Maintain detailed records and documentation related to PMB applications and authorisations.
- Adhere to regulatory requirements and organisational policies related to PMB administration.
- Assist with other administrative tasks as required.
- Proficiency in MS Word, Excel, Office, Outlook, and Internet.
- Strong organizational skills with attention to detail.
- Excellent negotiation skills.
- Bilingual in English and Afrikaans with strong interpersonal communication.
- Team player with a caring attitude.
- Flexible in adapting to changes and management decisions.
- Proficient in problem-solving techniques and record keeping.
- Leadership skills and ability to maintain good interpersonal relationships.
- Grade 12 qualification.
- Post Basic Pharmacist Assistant or Enrolled Nurse certification.
- Minimum of 4 years of experience in PMB administration.
- Strong understanding of PMB and CDL treatment plan authorization processes.
- Excellent administration and time management skills.
- Ability to work effectively in a fast-paced environment.
- Attention to detail and accuracy in record-keeping.
- Strong communication skills, both verbal and written.
- 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.
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Junior Clinical Assistant PMB - Pretoria, South Africa - Qetello Holdings
Description
Job Specification: Junior Clinical Assistant PMB
Location: Gauteng
About Our Client: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients.
The position: Our client is seeking a Junior Clinical Assistant PMB (Prescribed Minimum Benefits) to join their team on a permanent basis. The successful candidate will be responsible for the administration of Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) treatment plan authorisations, as well as the preparation, referral, and finalization of PMB applications for members both in and out of the hospital setting.
Functions:
Skills:
Requirements:
Remuneration:
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 with REF Clinical Assistant PMB. If you do not hear back from us within 2 weeks of applying, please consider your application unsuccessful.