Administrative Consultant - Centurion Verfied Gold Badge

R 10000 per month Centurion, Gauteng Centurion, Gauteng more than 14 days ago 21-06-2017 12:07:37 PM
10-07-2017 11:34:17 AM
Administrative Consultant: Managed Healthcare - PTA

Dynamic Managed Healthcare organization seeks suitably qualified and experienced Administrative Consultant to join their team.

Main purpose of the position
Provide general administrative support to the Managed Health Care Unit

Salary: R9K – R10 K per month (including corporate benefits)

Objectives (Discription Of Role):

• Provide general administrative support to the managed health care unit
• Receive/reply to internal and external correspondence/queries from suppliers/service providers/clients/other employees as and when requested by them, using MS Word,/MS Outlook/Right fax/Medware System in order to solve queries/problems in an efficient and effective manner.
• Receive and respond to internal and external correspondence and queries
• Capture allocated authorisation applications on the system, as per request from members/service providers/in accordance with clinical data instructions and requirements using MS Outlook/Right fax/telephone/initial assessment form/Practitioner's motivation letter in order to ensure that the most cost effective treatment is authorised
• Compile and maintain MHC statistics in order to ensure accurate record keeping
• Communicate decisions of the Clinical Committee to members/providers using MS Word/MS Outlook/template letters/telephone in order to inform
• Typing of communication to service providers and members
• Generate and circulate reports on the system to ensure that outstanding authorisations and enquiries are followed up
• Order/distribute stationary using stationary order forms in order for MHC personnel to have the necessary stationary to perform their tasks.
• Compile/maintain MHC statistics using MS Excel in order to ensure accurate record keeping
• Arrange/schedule/invite/attend staff meetings/meeting venues/attendees using MS Outlook/MS Word in order to facilitate meetings/write minutes of proceedings of meetings to record resolutions taken.
• Generate/collate/circulate reports on Medware/Careware using Outlook in order to ensure that outstanding authorisations and enquiries are followed up on by the Case Managers and Pre Auths.

Minimum Requirements:
irable
• Grade 12
• Min 2 – 3 years’ experience in Medical Administration / Managed Helath Care essential
• Computer literate and proficient in MS Office Packages (Word, Excel, Outlook)
• Business writing qualification and / or skills
• Excellent organizational, time management and workflow management skills
• Good administrative, record keeping and updating skills


Job Related Knowledge:job related knowledge Time span Essential Desirable
• Legislation and regulations relating to the industry
• Administrative knowledge
o Agendas
o Minutes
o Scheduling a meeting on outlook
o Change a meeting on outlook
• Etiquette & business protocol
o Telephone etiquette
o E-mail etiquette
o Letters to members
• Coding systems
o ICD 10 coding principles
o CPT 4 coding principles
• Quality management principals
• Knowledge and understanding of the system
• Client infrastructure and rules
• Company policies
• Knowledge and understanding of the organisation, departmental structures and resources