A reputable Medical Aid is seeking a Junior PMB Clinical Assistant to join their Pharmaceutical Benefit Management Department in Pretoria. Please note, this is an office-based role.
Duties:
- Administration of PMB and CDL treatment plan authorisations.
- Preparation, referral and finalisation of PMB applications for members in and out of hospital.
- Approval of referred PMB applications.
- Managing PMB referrals and the Supervisor escalation inbox.
- Daily stats report.
- Providing efficient Quality Service.
- Ensuring all PMB applications prepared and/or loaded correctly according to benefit options and scheme rules.
- Providing support to the Manager/Team Leader and other Managers in tasks and initiatives beneficial to the sections and the Scheme.
Requirements:
- Grade 12
- Enrolled Nurse
- Minimum 2 years experience in a PMB Administration within in a Medical Aid Scheme or Medical Aid Administrator environment
- Active SANC Membership
Job Types: Full-time, Permanent
Pay: R1,00 - R2,00 per month
Application Question(s):
- Are you willing to travel to Pretoria on a daily basis? (This is office based)
- What is your monthly salary expectation? (Before deductions)
Education:
Experience:
- PMB queries/authorisation: 1 year (Required)
- Medical Aid administation: 1 year (Required)
License/Certification:
