Pre - Authorisation

A Medical Insurance Company based in Benoni is looking for a Pre-Authorisation Nurse who will assess the authenticity and legitimacy of requests for medical services or treatment by members or service providers in a timely, effective, efficient, equitable and client centred manner.Key Performance AreasAuthorise or Decline Medical Services or...

The Prospective Reviewer role within the pre-authorisation call centre, is responsible for authorising hospital authorisation requests ensuring that requirements of clinical appropriateness, medical necessity and clinical risk management are met. Key Activities:Authorising hospital authorization requests by applying coding principles, medical scheme rules...

Key Requirements:Possess a nursing qualification and Emergency Services qualification or any other Clinical/Medical qualification3-5 years of Pre-Auth experience is required Previous exposure to Renal Dialysis, Oncology, and/or Psychiatric environments would be highly preferred. Exposure to Theatre and/or ICU in a private hospital is an added advantageSound...

Key Requirements:Possess a nursing qualification and Emergency Services qualification or any other Clinical/Medical qualification3-5 years of Pre-Auth experience is required Previous exposure to Renal Dialysis, Oncology, and/or Psychiatric environments would be highly preferred. Exposure to Theatre and/or ICU in a private hospital is an added advantageSound...

A Medical Insurance company based in Benoni is looking for a Manager to Manage the Pre-Auth and Claims department. The Manager will manage the accurate and timely processing of claims within established legal and company compliance guidelines. Manage the pre-authorisation department and facilitate the process of pre-authorisation as per requests from members...

Opportunity for a at Johannesburg North Insurance Brokerage. Play a crucial role in restoring our clients to their pre-loss status. Be the driving force behind efficient claims management, ensuring adherence to the companies service standards and swift turnaround times. Make a difference by helping clients navigate the complexities of the claims process and...

**Requirements**: - BSc Chemistry or similar - 2 years practical experience (Laboratory and technical work in ink industry experience an advantage) - Report writing - Analytical - Customer focus - Communication - Accuracy and Precision. - Ink formulating and colour matching techniques. - Good knowledge of printing processes (Litho-Offset, Intaglio (or...

**Job Position**: Debtors Clerk **Report to**: Accounts Receivable Manager **Scope and General purpose**: We are seeking a qualified Debtors Clerk for an National catering company based in Gauteng. To contribute to the management of a positive cashflow by actively reconciling debtors accounts and collecting of long overdue monies Reconciliation of Customer...

A Medical Insurance Company based in Benoni is looking for a Registered Nurse who will consult with members via relevant platforms to diagnosis and provide treatment plans for members according to Primary Healthcare Guidelines. Ensuring best clinical practice and quality is always provided to members. Handling of calls within Service level agreements.Key...

Redline Recruitment specializes in the Architecture, Interior Design, Construction and Graphic Design Recruitment.Busy Company based in Rivonia that sells copiers, printers, toners and services all related machines is looking for enthusiastic, dedicated Applicants for 2 positionsSENIOR TONER AND SERVICE CONTROLLER (CONTRACT CLIENTS) Salary R10 000/m CTCAll...

**Requisition and Talent Acquisition contact** - Req: 130722- TA Consultant: Lebohang Monate- Advert Closing Date: - Location: Sandton**Job Family** - Risk, Audit and Compliance - Career Stream- Regulatory Compliance **Leadership Pipeline** - Manage Self: Professional **Job Purpose** - Subject Matter Expert (SME) role to consult and advise the card...

Gauteng, JHB - Northern Suburbs Logistics concern, based in the North/East of Johannesburg, is looking for a Senior Credit Controller to join their team. Fantastic growth opportunity! To start ASAP. Job Related Requirements: - Matric (essential) - Minimum of 5 years’ experience in Credit Control with extensive client liaison experience. - Own reliable...

**About Us**: Tsebo Facilities Solution is looking for a Senior Project Manager to Accountable for mandated critical/high value projects to ensure successful execution and completion by defining and developing a framework to plan and manage projects and resources with utmost efficiencies to support the business to achieve its strategic objectives....

Company Description Turner & Townsend is a leading independent professional services company specializing in program management, project management, cost management and consulting across the property, infrastructure, and natural resources sectors. With 108 offices in 45 countries, we draw on our extensive global and industry experience to manage risk...

Company Description Turner & Townsend is a leading independent professional services company specializing in program management, project management, cost management and consulting across the property, infrastructure and natural resources sectors. With 108 offices in 45 countries, we draw on our extensive global and industry experience to manage risk...