Location: Centurion, Gauteng

Position Purpose: To ensure the accurate processing of medicine claims according to client specifications.

Experience: Minimum of 1 year experience with capturing medicines in a DUR/PHB environment with 2-3 years previous working experience within a Managed Care environment (Essential).

Qualifications: Post Basic pharmacist Assistant. Registration with SAPC. Key Performance Areas

• Provide Quality services to members and providers
• All medicine queries completed timeously
• Ensure all applications and request are captured timeously
• Accurate Capturing of new prescription, acute and chronic medication or private claim
• Correct handling of rejection within SOP and Formulary items and authorisations
• Support management with tasks and initiatives beneficial to the sections and Schemes
• Assist with tracking
• Claims – submission codes, pricing and reference pricing
• Scheme option and benefit design, scheme and funding rules
• Outbound calling projects
• To assist principal Pharmacist with clinical application and prescription reviewing
• Chronic and Prescribed Minimum Benefit Authorisations
• Provide Quality services to members and
• All medicine queries completed
• Ensure all applications and request are captured
• Support management and other managers in tasks and initiatives beneficial to the sections and

Skills & Abilities

• Excellent verbal and written communication skills
• Analytical, systematic and detail orientated
• Have a professional and positive attitude
• Interpersonal and customer-orientated service skills
• Ability to work independently and in a multidisciplinary project team
• Ability to handle pressure and difficult situations
• Ability to work under set deadlines – time management is critical
• Be responsible and able to maintain confidentiality
• Be able to make decisions
• Attention to detail
• Good analytical and problem-solving abilities
• Good communication and interpersonal skills
• Good organisational and administrative skills
• Ability to meet tight deadlines

Knowledge

• Sound knowledge of the Medical Schemes
• Good knowledge of various legislation concerning medical schemes, health insurance, PMBs, and other healthcare
• Sound knowledge of the pharmacy/pharmaceutical industry

Note: Company reserves the right to close the advert before specified closing date.