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Job description
Key Responsibilities:
Coordinate with medical aid schemes in assisting with chronic authorisations, medication advances, and special claims for customers
Ensure timely and accurate processing of medical aid claims
Liaise effectively with doctors, pathologists, and other healthcare professionals to resolve queries and secure authorisations
Communicate any co-payments, levies, or shortfalls clearly and professionally to customers
Maintain accurate records and documentation of all claim-related activities
Ensure compliance with medical aid policies, legislation, and company procedure
Manage and resolve customer complaints with empathy and professionalism
Guide customers on medical aid benefits and processes
Support pharmacists, assistants, and management with any medical aid-related administrative functions
Open Debtor Accounts (possibly assist blisterpacking department – with opening accounts by liaising with debtors dept)
Minimum requirements
Qualifications & Experience:
Matric certificate (Grade 12)
Further Education and Training Certificate Pharmacist Assistance
Minimum of 2 years’ experience in medical aid or healthcare administration
Minimum 1 year in the role of Pharmacist Assistant Post Basic
Strong understanding of medical aid schemes and claim processes
Skills and Abilities:
Excellent communication and interpersonal skills
Strong organizational and time management abilities
Attention to detail and accuracy in data handling
Ability to work independently and as part of a team
Ability to work under pressure in a fast-paced retail pharmacy environment
Proficiency in the pharmacy system and Microsoft Office Suite
Problem-solving skills and the ability to handle confidential information discreetly
Competencies:
Adhering to Principles and Values
Working with People
Delivering Results and Meeting Customer Expectations
Following Instructions and Procedures
Relating and Networking
Planning and Organising
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