Specialist Authorisation Agent
4 days ago
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. Qualifications: Grade 12 and relevant tertiary qualification. KEY PERFORMANCE AREAS Handle inbound and outbound calls relating to pre-authorisation requests. Capture, validate, and process benefit authorisations accurately. Liaise with members, healthcare providers, and internal stakeholders to ensure efficient service delivery. Provide clear and professional communication regarding benefit limits, exclusions, and scheme rules. Escalate complex queries to the clinical team where required. Maintain accurate records and adhere to company policies, procedures, and service level agreements. KEY COMPETENCIES Skills and Abilities Attention to Detail – ensures accuracy in capturing and processing data. Customer Service Orientation – professional, empathetic, and solution-driven approach. Problem-Solving – able to resolve queries effectively within policy guidelines. Time Management – manages workload efficiently and meets deadlines. Teamwork & Collaboration – works well with colleagues and supports a positive team culture. Adaptability – remains resilient and focused in a fast-paced environment Knowledge Knowledge of medical aid rules, ICD-10 codes. Strong computer literacy and data-capturing skills. Excellent communication skills (verbal and written). Ability to work in a structured, high-volume call centre environment Knowledge and application of relevant legislation Knowledge and application of scheme rules Note: Company reserves the right to close the advert before specified closing date. PHA has its head office in Westville, KwaZulu-Natal. It operates country-wide with a nationally linked network and uses a robust, flexible, as well as integrated system to ensure efficient and effective administration of membership and benefits. #J-18808-Ljbffr
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Centurion, South Africa Private Health Administrators (Pty) Ltd Full timeA leading health administration company is seeking a Specialist Authorisation Agent in Centurion. The role involves handling pre-authorisation requests, accurate data capturing, and providing customer service. Candidates should have 2 to 5 years of experience in a medical aid administration environment and possess strong communication skills. This position...
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Clinical Pre- Authorization Agent
4 days ago
Centurion, South Africa Private Health Administrators (Pty) Ltd Full timePosition: 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.....
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Centurion, South Africa Private Health Administrators (Pty) Ltd Full timeA leading healthcare administrator is seeking a Clinical Pre-Authorization Agent to ensure accurate pre-authorisations for clinical appropriateness and medical necessity. The ideal candidate must have a formal nursing qualification and at least 2-3 years of experience in Managed Healthcare. Responsibilities include authorising hospital requests, applying...
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Call Centre Agent
3 days ago
Centurion, South Africa H2R Full timeGauteng, Centurion - Market related - Market related Monthly Basic Salary (Market related, Negotiable) CALL CENTRE AGENT WITH UNDERMENTIONED KNOWLEDGE. - Adding or removing of dependants._ Processing medical scheme membership card requests and ensuring that it will be delivered to the correct address. Sending membership certificates when...
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Residential Real Estate Sales Specialist
1 week ago
Centurion, Gauteng, South Africa NORTHPOINT REALTY GROUP Full time R90 000 - R120 000 per yearWe're Hiring: Residential Sales & Rentals Specialist | Northpoint Realty GroupAre you anexperienced Estate Agentready to earn more commission and receive better support from your agency?AtNorthpoint Realty Group, we're expanding our residential division and are looking for proven specialists in Residential Sales and/or Rentals to join our growing national...
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Residential Real Estate Sales Specialist
4 weeks ago
Centurion, South Africa Northpoint Realty Group Full timeAre you an experienced Estate Agent ready to earn more commission and receive better support from your agency? At Northpoint Realty Group, we’re expanding our residential division and are looking for proven specialists in Residential Sales and/or Rentals to join our growing national team. What We Offer: Commission splits up to 80% — because your hard...
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Management Reporting Specialist
1 week ago
Centurion, South Africa Group Finance Full time**Introduction**- Are you passionate about transforming financial data into meaningful insights that drive strategic decision-making? Momentum Group is seeking a skilled Management Reporting Specialist to support our Group Finance Technologies division. In this role, you will play a key part in delivering accurate, insightful, and value-adding management...
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Medical Administrator and Receptionist
2 weeks ago
Centurion, South Africa PlaceTalent Full timeJoin 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...
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Medical Administrator and Receptionist
2 days ago
Centurion, South Africa PlaceTalent Full timeJoin 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...
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Technical Support
2 days ago
Centurion, South Africa Redheads Engineering Group Full timeAre you a technically strong problem-solver with experience in the printing distribution industry ? Our client is seeking a highly skilled Technical Support & Product Specialist to provide advanced technical support, training, and product expertise to internal teams, distributors, and authorised service partners across South Africa. This is a pivotal role...
