Non Clinical Consultant

at  Health Solutions

INTRODUCTION

Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.

REQUIREMENTS

• Matric
• Call centre experience is preferred
• Minimum 1 year medical experience (doctor’s rooms, radiology, hospitals, x-rays, paramedics, confirmation clerk) is essential
• Good understanding of anatomy and physiology
• Good telephone etiquette is essential
• Independent thinker
• Knowledge of healthcare industry is preferred

ROLE PURPOSE

Deliver professional service to clients through various servicing channels (inbound calls, emails, walkin interactions etc.), responding to their needs, concerns and complaints within agreed Service Level Agreements and legislative and compliance requirements.

DUTIES & RESPONSIBILITIES

• Maintain quality customer service
• Bin management –turnaround of 48 hours
• Implementation of policies/protocols related to scheme benefits
• Benefits in and out of hospital is appropriately controlled
• Exclusions are correctly and consistently applied
• Positive relationships are built and maintained with hospitals and providers
• Appropriate referral to case management team