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  • Posted: May 24, 2021
    Deadline: Not specified
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  • Kaelo Engage is a content marketing agency specialising in creating socially responsible content. Whereas a traditional public relations agency may only focus on issuing press releases, we leverage our in-depth experience and team’s passion to profile your sustainability initiatives through meaningful and relevant content creation in print, digital, br...
    Read more about this company

     

    Health Core Servicing Consultant Temp

    Job Description

    • The Kaelo Health Specialised Servicing Consultant is responsible for responding to complex queries, managing complaints, troubleshooting service problems and providing general information regarding our products. Manage our customer and provider experience with excellence and accuracy. As a Specialised Consultant you will be expected to perform using a variety of channels, including telephonic and correspondence as well be skilled on all Kaelo products. Management of the provider relationship from contracting , service level agreements, administration, and reporting.

    KEY OUTCOMES

    • Manage networks
    • Rango appointment management and reporting on the Halo network
    • Management of authorisations

    Grow and maintain network providers

    • Maintain contact information and communicate and store according to the business rules and requirements
    • Maintain on-boarding and off-boarding of health providers
    • Maintain client information  

    Resolve network related escalations

    • Ensure maintenance of SLA’s and correct escalation protocols are adhered too

    Source and contact health providers

    • Report on networks and appointments
    • Weekly and monthly reporting , but not limited to this frequency
    • Negotiate annual tariffs

    Manage incoming queries and outbound responses with:

    • Members
    • Service Providers
    • Intermediaries
    • Health Providers
    • RAF (Road accident fund)requests manage relationship with third party stakeholder
    • Manage omni-channel responses (including telephonic and correspondence) 
    • Provide product specific information across full product suite
    • Assess and determine when there is an operational query and or complaint
    • Identify and escalate priority issues

    Manage and resolve customer and health provider complaints

    • Complete administrative tasks 
    • Continuous improvement and quality assurance
    • Monitor and manage trends
    • Conduct root cause analyses

    SPECIAL REQUIREMENTS

    • Ability to maintain confidentiality, problem solve, negotiate and communicate, attention to detail. Ability to handle stressful situations appropriately 

    Qualifications
    PERSON DETAILS: WORK EXPERIENCE
    REQUIRED

    • At least 3 years’ experience in the Medical Scheme or Healthcare Industry in a data administration role 
    • Knowledge of customer service practices and principles
    • Excellent listening, verbal and written communication skills 

    PREFERRED

    • Proven work experience in the Healthcare administration or managed care environment

    EDUCATION: QUALIFICATIONS: ACCREDITATIONS WITH PROFESSIONAL BODY
    REQUIRED

    • Grade 12 or equivalent NQF 4 certificate

    PREFERRED

    TECHNICAL SKILLS OR KNOWLEDGE
    REQUIRED

    • Computer Literacy – Microsoft Excel, Word and PowerPoint
    • Strong phone, email (written) and inter-person communication skills
    • Call centre systems and multi-tasking

    PREFERRED

    • Knowledge of Medical Scheme Industry

    Additional Information

    •       Accountability
    •       Action orientated
    •       Collaborative
    •       Communication skills
    •       Simple writing skills
    •       Problem solving skills
    •       Encourages engagement
    •       Manages complexity
    •       Resilient and adaptive
    •       Purpose driven
    •       Significance and values orientated

    Method of Application

    Interested and qualified? Go to Kaelo Engage on jobs.smartrecruiters.com to apply

    Note: Never pay for any training, certificate, assessment, or testing to the recruiter.

  • Send your application

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