Current jobs related to Pre-Auth Consultant - Roodepoort - AfroCentric Group

  • Pre-Sales Consultant

    4 hours ago

    Only for registered members Johannesburg, Gauteng

    Being responsible for the interaction between our new and existing customers and our global business sales teams. · ...

  • SANC Nurse: Call Centre Pre-Auth Consultant (R31 000pm - Cost to Comp) Centurion

    1 week ago

    Only for registered members Centurion

    A reputable Medical Aid Administrator seeks Pre-Auth Consultants to join their Call Centre team. · ...

  • SANC Nurse: Call Centre Pre-Auth Consultant (R31 000pm - Cost to Comp) Centurion

    1 week ago

    Only for registered members Centurion, Gauteng

    A reputable Medical Aid Administrator seeks Pre-Auth Consultants to join their Call Centre team. · Provide general clinical administrative support to the managed health care unitReceive/reply to internal and external correspondence/queries from suppliers/service providers/clients ...

  • Pre-Sales Consultant

    5 days ago

    Only for registered members Midrand, Gauteng

    We are seeking a highly capable Pre-Sales Consultant to support our rapidly growing sales efforts in the UK, Ireland, and Europe. This position is based in South Africa (Cape Town or Johannesburg), and suitable candidates must have a strong background in selling technology soluti ...

  • Pre-Sales Consultant

    2 days ago

    Only for registered members Centurion, South Africa Full time

    In order to be considered the following is required: · A Pre-Sales Consultant with a Bachelor's degree or equivalent in Computer Science, Information Systems, Engineering or a related technical discipline (or equivalent experience) and strong working knowledge of AIOps platforms. ...

  • Sales Consultant

    4 weeks ago

    Only for registered members Roodepoort, Gauteng

    Kickstart your career with a company where ambition, opportunity, and growth come together. Nova Life is a results-driven sales company that offers innovative telemarketing solutions, a dynamic and supportive team culture, and a clear path to career success. · Conduct telephonic ...

  • Key Program Administrator

    1 week ago

    Only for registered members Roodepoort, Gauteng, South Africa

    The Client a well established Engineering Firm in Roodepoort Johannesburg West Rand seeks Key Program Administrator with 10 years experience in Engineering Consulting Company. · Previous Administrative work experience at Civil Engineering Consultant preferred or at Civil Engineer ...

  • Sales Consultant

    4 weeks ago

    Only for registered members Roodepoort

    Kickstart your career with a company where ambition, opportunity, and growth come together. Nova Life is a results-driven sales company that offers innovative telemarketing solutions, a dynamic and supportive team culture, and a clear path to career success. · Conduct telephonic ...

  • Pre-Authorisation Consultant - Medical Aid Administrator (R31 000pm - Cost to Comp) Centurion

    1 week ago

    Only for registered members Centurion, Gauteng

    A Medical Aid Administrator is seeking Pre-Auth Consultants to join their Call Centre team, for an office-based role, in Centurion. · ...

  • Oracle Integration Cloud

    1 month ago

    Only for registered members City of Johannesburg

    We are seeking a skilled Oracle Integration Cloud (OIC) Developer to design, develop, and maintain integrations between Oracle Cloud applications and external systems. · The ideal candidate will have deep expertise in OIC, strong problem-solving skills, and the ability to work cl ...

  • Full Stack .Net Developer

    2 days ago

    Only for registered members City of Johannesburg, Gauteng Remote job

    We are seeking a skilled Full Stack .Net Developer who is based in South Africa and has the right to work. The ideal candidate will have advanced proficiency in .NET 8+, with familiarity working in .NET 9 and using the dotnet 9 CLI. · ,Advanced proficiency in .NET 8+, with famili ...

  • Full Stack .Net Developer

    2 days ago

    Only for registered members City of Johannesburg

    We are looking for a Full Stack .Net Developer who has experience with service stack and modern frontend capabilities. ...

  • Cloud Migration Specialist

    1 month ago

    Only for registered members City of Johannesburg

    The position is for a VMware Cloud Foundation (VCF) 5.2 Architect/Consultant, responsible for designing, implementing, and optimizing enterprise-scale VCF 5.2 solutions. · Design and deploy VMware Cloud Foundation 5.2 environments across compute, storage, network, and automation ...

  • Cloud Migration Specialist

    1 month ago

    Only for registered members City of Johannesburg, Gauteng

    The position is for a VMware Cloud Foundation (VCF) 5.2 Architect/Consultant, responsible for designing, implementing, and optimizing enterprise-scale VCF 5.2 solutions. · Design and deploy VMware Cloud Foundation 5.2 environments across compute, storage, network, and automation ...

  • Specification Engineer

    3 weeks ago

    Only for registered members City of Johannesburg

    Specification Engineer to develop, maintain, and strengthen a robust professional network with consultants, specifiers, engineering firms, and key clients throughout the region by prioritizing direct customer engagement through visits and face-to-face events. · Specify and promot ...

  • Manufacturing & Process Plant Specialist

    3 weeks ago

    Only for registered members City of Johannesburg

    We are looking for a highly skilled and experienced Senior Technical Application Engineer to join our dynamic team at Baker Baynes. · In this strategic and hands-on role, you will enable our clients to adopt and optimize Autodesk Design and Manufacturing technologies, driving dig ...

  • Senior Anaplan Model Builder

    1 month ago

    Only for registered members City of Johannesburg

    Senior Anaplan Model Builder with 5+ years of experience building and scaling complex models, architecting planning ecosystems, and driving financial planning transformations. · Designing, building, and owning robust Anaplan models · Ensuring seamless data flow and real-time insi ...

  • Cloud Specialist

    1 month ago

    Only for registered members City of Johannesburg, Gauteng

    Cloud Specialist responsible for designing, implementing, and optimizing VMware Cloud Foundation solutions for large enterprises. Provides strategic advice and guidance on cloud infrastructure, automation, and security best practices. · ...

  • SATIC - Mulesoft Developer (Senior Associate)

    1 month ago

    Only for registered members City of Johannesburg

    We are looking for candidates who bring in-depth market experience, who see technology as a way to enable and drive human innovation and who want to be a part of a community of solvers, to tackle the biggest challenges in society. · By choosing to join SATIC, you are choosing to ...

  • SATIC - Mulesoft Developer (Associate)

    1 month ago

    Only for registered members City of Johannesburg

    We are looking for candidates who bring in-depth market experience, who see technology as a way to enable and drive human innovation and who want to be a part of a community of solvers, to tackle the biggest challenges in society. · As a Senior Associate, you'll possess a strong ...

  • Cloud Specialist

    1 month ago

    Only for registered members City of Johannesburg

    HCL is hiring an Azure Specialist for Johannesburg, South Africa. The ideal candidate will have extensive experience with VMware Cloud Foundation 5.2 and a deep understanding of its architecture, deployment, and management components. · Lead the design, implementation, and optimi ...

    • Pre-Auth Consultant - Roodepoort - AfroCentric Group

    AfroCentric Group
    AfroCentric Group Roodepoort

    2 months ago

    Description

    Position Purpose:
    Providing Customer Experience and is responsible for assisting customers' needs.

    Through their engagements with the customer, they will need to build trust and connection and resolve requests with acknowledgement and care.

    Growing and maintaining knowledge and understanding of the customer journey and their emotional reactions. Delivering and enable excellence in all service moments to all stakeholders (Members, Providers, Employer groups, Intermediaries, Schemes).

    Providing personalised clinical servicing through the omni channel experience focusing on the overall care quality of interaction between our customers and the brand.

    Providing holistic care that is personalised and accessible, managing the care journey end to end. Committing to our service care charter striving to continuously make a positive difference.


    Experience:
    1-2 years Managed Care Operations Experience
    1-2 years Customer Servicing Experience
    2-3 years General and Surgical Ward Experience
    1-2 years Managed Health Care Experience (Call Centre) Advantageous
    1-2 years Trauma / ER Experience Advantageous


    Qualifications:
    Registered in Nursing services, plus registration with SA Nursing Council

    Client service delivery and quality

    • Follow procedures and cooperate with peers and leader for best possible service delivery
    Compliance and Risk Management

    • Defined legal, statutory and regulatory compliance is maintained at the required standards
    • Operational risk and governance structures, measures and frameworks are complied with and necessary action is taken to address issues, when necessary
    Operating Model

    • Meet delivery objectives through working with other team memberswithin and linked to the department / project
    • Resolve operational performance variations and problems and escalate unresolved issues to higher levels
    • Ensure delivery targets/objectives are met and operate in a supportive manner to achieve successful delivery
    Operational Implementation of Strategy

    • Keep up to date with operational changes implemented in response to important external influences
    • Deliver in a manner that supports and meets operational quality standards and meets the defined departmental priorities
    • Perform according to defined operational best practice and identify and implement opportunities for continuous delivery improvement
    Operational Leadership

    • Deliver personal performance within Human Capital frameworks and policies to ensure delivery to agreed standards and objectives
    • Engage in development, coaching and mentoring
    • Support transformation through valuing diversity
    • Behave in alignment with the Afrocentric values
    Stakeholder Management

    • Ensure appropriate, active and informative relationships with customers and relevant stakeholders are successfully achieved
    • Address customer or stakeholder complaints in alignment with the policies and procedures and ensuring customer / stakeholder buyin
    Generic Objectives

    Manage Care Service Requests:


    Service all key stakeholders in the moment across all servicing channels as required until the clinical service request has been resolved.

    Educate stakeholders on self
    -help digital servicing tools. Connect with your customers (all stakeholders) across all channels, enabling an intuitive
    experience and bringing across our brand authentically. Provide a seamless, progressive and holistic approach, understanding the customer's needs.

    Manage Authorisations:
    Manage and or validate the customer's authorisations needs with care, understanding and empathy. Caring holistically for the patient journey.

    Manage Excellent Experiences:
    Provide accurate and consistent information, meeting all quality standards and measures.
    Deliver excellence in customer satisfaction.
    Strive to identify areas of improvement and sharing of ideas with your team.
    Collaborate with all teams to enable peer to peer learning.

    Drive Brand Loyalty:
    Be a brand ambassador, allowing the brand presence to be felt as an extension of the experience.

    Knowledge

    • Customer service operations
    • Health legislation and regulatory
    • Health Care Environment and Facilities
    • Health Care Industry
    Turnaround Time
    The shortlisting process will only start once the application due date has been reached.

    The time taken to complete this process will depend on how far you progress and the availability of line managers.

    Our Commitment to Transformation
    AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create

    Should you not receive feedback within a month of applying, please consider your application unsuccessful
    Show more Show less
Jobs
>
Roodepoort