Hospital Benefit Specialist- KZN(Talent Pool) at Discovery Limited

Key Purpose:

The successful applicant will be responsible for but not limited to the following job functions:

 Assessing the case in relation to the following:

• Members clinical history
• Members benefit structure
• Clinical Information and coding supplied
• Level of care provided
• Appropriateness of the facility
• Appropriateness of the treating doctor
• Appropriateness of treatment

Education and Experience:

• Matric
• Must be a Registered Nurse or Clinical Associate
• Valid SANC Registration or HPCSA registration
• 3 years Clinical experience in a private hospital setting (ICU, Trauma/Casualty, Medical/General ward preferable)
• 2 years Managed health care experience 
• Microsoft Office (Specifically Excel experience)
• Valid Driver’s License and own transport ( working hours are between 08:30 -17:00 & travel up to 50KM may be required)
• Effective Communication Skills (Verbal & Written)
• Telephone Etiquette
• Active Listening Skills