Pre-Authorization Specialist – Medical Benefits Expert

Position: Clinical Pre- Authorization Agent Location: Centurion, Gauteng Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meets the requirements of clinical appropriateness, medical necessity and clinical risk management Experience: A minimum of 2-3 years’ experience in a Managed Healthcare will be advanteagous.....

**THE IDEAL CANDIDATE SHOULD HAVE**: - Must be a Medical Doctor registered with Health Professions Council of South Africa (HPCSA). - Medical indemnity insurance will be an added advantage. - Must have sound knowledge of the Medical Aid Industry, Rules & Regulations, and other related legislation. - Sound knowledge of PMB guidelines and Industry knowledge...

Join a specialist practice in Centurion as a Medical Receptionist/Administrator.Youll manage patient bookings, theatre lists, pre-authorisations, and ensure accurate record keeping. A key part of this role is welcoming patients warmly, handling calls professionally, and assisting with billing queries.Fluency in Afrikaans and English, 35 years experience in...

Join a specialist practice in Centurion as a Medical Receptionist / Administrator. Youll manage patient bookings, theatre lists, pre-authorisations, and ensure accurate record keeping. A key part of this role is welcoming patients warmly, handling calls professionally, and assisting with billing queries. Fluency in Afrikaans and English, 35 years experience...

A leading financial services company in Centurion seeks a specialist for death benefit claims assessment. The role involves developing claims methodology, ensuring compliance with regulations, and enhancing client experience through effective assessment and reporting. Candidates should have a relevant business qualification and experience in life insurance...

Our client, a busy Obstetrics & Gynaecology practice in Centurion, seeks a skilled Medical Receptionist/Administrator to manage daily operations, ensure smooth patient experiences, and provide professional, efficient administrative support.Join a specialist practice in Centurion as a Medical Receptionist/Administrator.You'll manage patient bookings, theatre...

Position: Specialist Authorisation Agent Location: Centurion, Gauteng Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meet the requirements of clinical appropriateness, medical necessity and clinical risk management. Experience: 2 to 5 years’ solid experience within a medical aid administration environment....

A healthcare benefits administration company in Centurion is seeking a Billing Specialist to manage and process membership subscriptions, ensure accurate billing, and handle inquiries related to payments. The ideal candidate will have 2 to 3 years of relevant experience and a strong proficiency in financial principles. A tertiary qualification in Accounting...

A specialist medical practice in Centurion seeks a Medical Receptionist / Administrator to manage patient bookings, handle calls, and assist with billing queries. Candidates must have 35 years of experience in medical specialist administration, fluency in Afrikaans and English, and strong multitasking capabilities. This role requires a detail-oriented,...

Medical Affairs Specialist **#LI-DNP #LI-DNI #LI-CES