Team Leader & Training Coordinator
Fusion Personnel
- Johannesburg, Gauteng
- Permanent
- Full-time
- Knowledgeable of the Medical Schemes Act and Government Gazette on tariffs
- Conduct telephonic assessment, competency assessments and first line interviews during recruitment
- Responsible for the training of all new staff recruits in the areas of clinical assessing/auditing, pre-authorisation and specialised case management
- Providing detailed training feedback post probation
- Responsible for identifying and meeting training needs of existing staff
- Responsible for identifying and updating system and process enhancements throughout the department
- Review and update training manuals, guidelines, standard operating procedures (SOP’s) and cheat sheets
- Maintain quality control for Clinical auditing staff and provide monthly feedback and stats to senior manager
- Monitor workload to ensure SLA’s are met
- Involvement with any complex hospital/ associated account queries leading to resolution and reconciliation of the account
- Assist with all HR issues ie: performance counselling, change management etc.
- System testing:
- Responsible for testing any system programming changes that affect the department
- Identify staff members who display an aptitude for testing and develop their testing abilities
- Data Mining:
- Involvement with the data mining process from a statistical point of view within the areas of trends, costs and disease management, amongst others
- Review of data for the Annual statutory return of the scheme to Council for Medical schemes
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