Pre-Authorization Agent - IER
Job Summary
To facilitate admissions process by applying the Organizations protocols.
Key Performance Areas/Key Responsible Areas
Review/Evaluate Clinical documents prior to the claim.
Accept or decline according to business protocol.
Communicate with Hospitals, nurses, physicians and other Healthcare Providers.
Provide product information in line with standard procedures
Required Qualifications
Matric
Desirable Qualifications
Certificate in counseling/ Psychology.
Qualification recognized for HPCSA/SANC registration.
Required Experience
Clinical experience in the practice of diagnosis, treatment and prevention of disease.
Desired Experience
Computer Aided Dispatch System.
Healthcare industry experience.
Primary Health Care Experience.
Required Knowledge and Skills
Clinical evaluation of signs and symptoms and appropriate prescribing.
Verbal and written communication skills.
Listening skills.
Attention to detail.
Organizing and Time-management.
Computer literacy.
Stress tolerance.
Working knowledge of basic medical and emergency care terminology.
Problem solving skills:
Ability to find solutions to uncommon problems.
Desired Attributes
Compassionate
Professional
Pay attention to detail
Ability to remain calm in stressful situations.
Patient
Enthusiastic
Positive mental attitude.
Flexible
Empathetic
Self-motivated
Other Requirements
Willing to work 12hour shifts
Valid Driver’s License
Own Vehicle
Apply Here http://bit.ly/2JP9DNV
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