Pre Auth Service Consultant - Inhouse
Core
Deliver world-class service to Inhouse scheme stakeholders (Members, Providers, Hospitals, Brokers) by resolving queries via telephone and managing benefit authorization risks using clinical knowledge.
Role type
Customer service consultant with clinical expertise
Builds
Accurate benefit funding decisions and resolved stakeholder queries
Domain
Health insurance / Employee benefits
Deliverable
client delivery
Required skills
Clinical knowledge (Anatomy and Physiology), Telephone communication, Protocol adherence, CRM usage, Time management
Preferred skills
Customer-centric approach, Resilience, Empathy, Adaptability to change
Technologies
MS Office, Outlook, Digital servicing tools, CRM systems
Responsibilities
Confirm Inhouse scheme benefits according to protocols, Obtain and capture information for correct funding, Service stakeholders telephonically, Keep up to date with product changes, Identify and report system issues, Route enquiries to correct departments, Assist with daily CRM queries
Seniority
Entry-level / Junior