Clinical Consultant x6 – Momentum Health Solutions
Location: Centurion, Gauteng
Reference Number: MMH240902-4
Position Type: Permanent
Closing Date: 18 February 2025
Role Purpose
To ensure best practices in providing medical care and treatment while managing scheme benefits effectively.
Minimum Requirements
- Matric (Senior Certificate)
- Registered Nurse qualification (essential)
- 2-3 years' experience in the managed care industry
- Strong understanding of scheme products, legislation, and PMB guidelines
- Telephonic etiquette and customer service skills
Key Responsibilities
- Handle 70+ calls daily (240-second handling time per call)
- Maintain high-quality customer service
- Ensure turnaround time of 48 hours for bin management
- Implement policies and protocols related to scheme benefits
- Control in-hospital and out-of-hospital benefits
- Apply exclusions correctly and consistently
- Build and maintain strong relationships with hospitals and providers
- Refer cases appropriately to case management teams
Key Competencies
- Strong business acumen and understanding of risks
- Client-focused approach with long-lasting relationship management
- High sense of urgency, accountability, and execution skills
- Ability to drive continuous improvement through innovation
- Strong influencing and communication skills
- Resilience in handling pressure and ambiguity
- Cultural awareness and openness to diverse backgrounds
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