Job Description

One of our clients in the Healthcare industry has a permanent vacancy available for a Pharmaceutical Administrator to join their dynamic team.Job purpose of this position:

• This position is responsible for maintaining accurate records, coordinating with various departments, and ensuring that all activities adhere to industry standards and regulations. The role involves facilitating communication, managing documentation, and contributing to the overall effectiveness of the pharmaceutical operations to ensure the highest standards of patient care and safety.

• Claim queries for Acute medication, Chronic medication, TTOs, Specialist medication, Casualty medication, Paper Claims from Pharmacies and Pathology claims.
• Follow-up on outstanding chronic scripts.
• ICD-10 codes in place with the necessary pathology results.
• New membership medication queries.
• Medication formulary queries.
• Pharmacy deliveries on chronic disease management.
• Sending of chronic registration letters to Providers, Members and Pharmacies.
• Sending formulary lists to treating providers.
• Ensure that condition baskets are loaded.
• Contacting of treating providers, members and pharmacies to register members on programmes.
• Copy notes from MIP system onto DMP system regarding medication approval.
• Update provider details.
• Update Pathology results.
• Update member contact details on MIP system.
• Upload documents onto the DMP system.
• Membership queries on registrations, suspensions, exclusions and waiting periods.
• Queries regarding change in treatment and / or add-on treatment.
• DUR on new registrations before sending to Mediscor.

• Matric.
• Minimum 2 - 3 years experience in Administration.
• Six months previous experience in customer service.
• Computer literacy.
• Knowledge of medical terminology is an added advantage.
• Medical scheme experience is preferred.
• Managed healthcare experience is preferred.

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