Medical Pre-Authorisation Consultant

Together with our client in Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have a completed qualification as an Enrolled Nurse and must be registered with SANC, with at least 2 years experience in Managed Healthcare.Duties and responsibilities: Receive applications for all services, which require...

A reputable Medical Aid is seeking a Pre-Auth Consultant to join their Call Centre team in Pretoria.A reputable Medical Aid Scheme, based in Pretoria, is seeking a Pre-Authorisation Consultant to join their Hospital Benefit Management team.Duties: Delivering costeffective managed healthcare services to accomplish member satisfaction. Assisting the Client by...

A reputable Medical Aid Scheme, based in Pretoria, is seeking a Pre-Authorisation Consultant to join their Hospital Benefit Management team.Duties: Delivering costeffective managed healthcare services to accomplish member satisfaction. Assisting the Client by approving appropriate funding. Delivering an effective Call Centre service in order to achieve...

Join our team in Pretoria as we collaborate with our valued client to seek a Clinical Pre-Authorisation Consultant (Registered Nurse). We are looking for an ideal candidate who holds a registered nurse qualification, backed by a degree or diploma and is registered with the South African Nursing Council (SANC). Additionally, the candidate should bring a...

Position: Coordinator: Member Care (Pre-authorisations)Reporting to:Contact Centre Operational Manager Location: On-site at the Head Office, Pretoria _You will be required to work shifts between 7h00 and 19h00 (Monday to Sunday)_ Qualifications:Registered/ Enrolled Nurse Valid registration with SANCSkills and Competencies Required: Minimum 23 years'...

CompanyOne of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA.PurposeDelivering cost-effective managed healthcare services to accomplish member satisfaction.Responsibilities: Client Relations, To assist the client by approving appropriate funding To deliver an effective call centre...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team.3SIXTY HEALTH 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ''black excellence''3Sixty Health is 100% black owned and black managed administrator. It...

ESSENTIAL SKILLS REQUIREMENTS: SAP ERP Authorisations SAP BW Authorisations SAP GRC Any additional responsibilities assigned in the Agile Working Model (AWM) CharterADVANTAGEOUS SKILLS REQUIREMENTS: Functional knowledge of SAP Modules EWM, WM & MM. ABAP debugging beneficial (Workbench related knowledge of new development/enhancements). Ability to understand,...

Permanent JHB00898 IT Gauteng, Tshwane (Pretoria) Monthly Basic Salary (Market related, Negotiable)SAP Authorisation ConsultantESSENTIAL SKILLS REQUIREMENTS: Min 3 years' experience years' experience SAP Authorisation experience. SAP S/4 Hana and Fiori: Fiori Launchpad and Administration At least 1 full project implementation. Applications operations...

Responsible for the overall management of the Medicine and Healthcare (pre-auth, case management and hospital audit) divisions through the following actions:Ensure all registered Medihelp benefits are clinically defined and that protocols and algorithms are uploaded to the system;Develop clinically defined protocols and algorithms for pharmaceutical...

About the job Medical ReceptionistMedical Receptionist, PretoriaOur client a Plastic and Reconstructive Surgeon based in Pretoria is seeking to recruit a medical receptionist.Responsibilities; Answering calls Make appointments Managing the diary Addressing queries Managing the mobile phone after hours Ensure all forms are completed prior to consultations...

Our client, a managed care organisation based in Pretoria is looking for a Call Centre Agent. This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries.Position:Medical Call Centre Agent Adding or removing of dependants Processing medical scheme membership...

Applications operations support for Authorisations.Providing 1st level support to users; adhering to documented processes.Providing 2nd level support to processes where documented.Recording, routing, and monitoring all reported incidents using ITSM to the BMW incident management process.Liaising with other fix groups and other plant based or central support...

Position:Member Care Clinical Consultant (Pre-authorisations)Reporting to**:Operations Manager: Contact CentreLocation: Head Office - Lynnwood, PretoriaSalary: Market related CTC package that includes medical scheme and provident fundQualifications: Registered/ Enrolled Nurse Valid registration with SANC- _You will be required to work shifts between 07h00...

Medical Aids Claims Administrator Our client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East.Role Description This is a full-time, office-based position. The individual will be responsible for administrating claims and authorisations from...

Adding or removing of dependants Processing medical scheme membership medical card requests and ensuring that it will be delivered to the correct address. Sending membership certificates when required. Sending tax certificates to members during tax season. Submitting all member requests for updates in personal information to membership. Assisting providers...

My client in Groenkloof, Pretoria is recruiting for a professional, kind and welcoming Medical Receptionist to join their esteemed specialist medical practice.Candidates who meet the below minimum requirements are invited to submit their application via the link provided.Minimum requirements:MatricThree years working experience (current / recent) in a...

Gauteng, Tshwane (Pretoria) To be discussed To be discussedMonthly Cost To Company (Market related)Our client, in the Medical Industry has a permanent vacancy in for a Co-ordinator: Member Care (Pre-Autorisation).To qualify for this position you must be:Registered/ Enrolled Nurse. Valid registration with SANC.This position will require you to work shifts...

Minimum of Grade 12 or equivalentIndividual must have medical device or medical equipment sales / rentals experience.Minimum of 2-5 years medical industry sales experience is essentialRelevant tertiary qualification will be an advantageStrong Clinical knowledgeBasic computer literacy skills in MS Excel and OutlookValid drivers license (Code 08/EB)Excellent...

Our client, a managed care organisation based in Pretoria is looking for a Call Centre Agent. This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries.Position: Medical Call Centre AgentReporting to: Operations ManagerHours: 40 hours per week (Based on a shift...