Calling all Enrolled Nurses seeking an opportunity to enter the Managed Healthcare Industry!

Candidate with a minimum Enrolled Nursing Certificate required for this clinical call centre as a Hospital Pre-Certification Agent.

You will be trained to establish member eligibility for in-hospital benefits prior to admissions, evaluation of medical necessity and to liaise with hospitals, doctors and members regarding their medical scheme benefits.

Minimum requirements:
• Grade 12
• Nursing qualification required: Enrolled Nursing Certificate / Professional Nurse
• 3-5 years hospital experience after qualification essential
• Previous medical scheme administration experience preferred
• Call centre experience advantageous
• Computer literate
• Excellent communication skills essential

Responsibilities:
• Establish member eligibility for in-hospital procedures prior to admission, telephonically
• Liaise with doctors, hospital and members re medical scheme benefits
• Administration enquiries relating to case management and medical claims