Junior Pmb Clinical Consultant

**Junior Clinical Assistant PMB** **Company** One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA. **Purpose** **Responsibilities** - Management of PMB referrals and supervisor escalation inbox. - Daily stats report - Provide Efficient Quality Service - Support manager/team...

**Job Specification: Junior Clinical Assistant PMB** **Location**: Gauteng **About Our Client**: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. *** **Functions**: - Administer PMB and...

**Member Clinical Consultant (Pre-authorisations), Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Member Clinical Consultant. **Roles and Responsibilities (but not limited to)**: - Attend to incoming calls from healthcare service providers and members/ beneficiaries. - Verification of the eligibility of cover...

About the job Member Clinical Associate, Pretoria **Member Clinical Consultant (Pre-authorisations), Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Member Clinical Consultant. **Roles and Responsibilities (but not limited to)**: - Attend to incoming calls from healthcare service providers and members/...

valid registration with SANC. Also financial background working in the accounts department of a hospital is a crucial requirement. Minimum 2 years experience working within a private hospitals account department responsible for raising accounts with and billing medical schemes. Sound knowledge of the South African Healthcare industry and prevailing...

A reputable Medical Aid in Pretoria is seeking a Pre-Authorisation Consultant to join their Hospital Benefit Management team. (Please note: This is a Monday-Friday post, with office hours, 8am-5pm, with no week-ends and no shifts) **Duties**: - Answering calls within a Call Centre environment and providing authorisation for hospitalization and/or clinical...

Minimum 2-3 years experience within a similar role within a managed healthcare or medical scheme environment - Sound knowledge of the South African Healthcare industry and prevailing legislation, current coding structures e., ICD10s, CPT4, NRPL, PMB conditions and clinical protocols - Thorough, well-grounded clinical knowledge of the pre-authorisation and...

**Pre-Authorisation Consultant** **Introduction** One of the largest private Medical Aid companies in SA. They have been providing healthcare to the lives of South Africans for over 56 years. And are striving to be #1 in SA. **Purpose** Delivering cost-effective managed healthcare services to accomplish member satisfaction. **Duties &...

**Key Responsibilities**: - Oversee the functioning of the Clinical Consulting Services sub-division, managing projects and day-to-day operations, including performance management, development, and implementation of operational plans. - Facilitate clinical support to other sub-divisions such as Benefits Management, Research & Monitoring, Legal Services,...

The position of Senior Manager: Clinical Risk Management is vacant. The Senior Manager: Clinical Risk Management will report directly to the Chief Healthcare Officer and forms part of the Healthcare Division. The position is based in Head Office in Pretoria. The total remuneration package for this position is negotiable based on qualifications and...

**Description**: 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 SANC **Skills and...

Our client is seeking a Clinical Pre-Authorisation Consultant to join their dynamic team. If you're a healthcare professional registered with the South African Nursing Council (SANC) as a Registered Nurse or Enrolled Nurse, with at least two years of experience in Managed Healthcare or Private Hospital settings, we encourage you to apply!Key...

Join our vibrant team at East Cape Tours as a Junior Consultant, where your passion for travel and your industry experience will help craft unforgettable travel experiences for our clients. We are on the lookout for enthusiastic individuals who are ready to assist our clients with their booking needs and embark on a rewarding career in the travel...

Handling of telephonic authorisations, hospital and radiology on the pre-authorisation call centre. - Capture clinical information and verify the information, including the applicable ICD-10 and item codes. - Confirm membership status & available benefits on the system before authorisation can be granted. - Validate and evaluate special pre-authorisation...

**JOB DESCRIPTION**: PPD is a leading global contract research organization providing comprehensive, integrated drug development, laboratory and lifecycle management services. At PPD, we are passionate, deliberate, and driven by our purpose - to improve health! This role is part of Accelerated Enrollment Solutions (AES), a business unit of PPD that offers...

Clinical Pathologist – Relocate to New Zealand Location: Auckland or Dunedin, New Zealand Contract Type: Full-Time Remuneration: NZD $175,000 per year + generous relocation package About the Opportunity Are you an experienced Clinical Pathologist seeking a fresh start in a breathtaking location? This is your chance to join New Zealand’s leading...

**Job ID**: 58557**Date Posted**: Posted 6 hours ago**Location**: Pretoria, Gauteng**Job Title**: AMBULATORY BENEFITS MANAGEMENT SPECIALIST - PERSONS WITH DISABILITIES - PRETORIA **Duties**: - Support the Scheme’s strategic objectives and mandates in developing and implementing of Clinical Risk Management Platform in relation to access to out-of-hospital...

Law firm in Pretoria East has a vacancy for a junior attorney who has just completed their articles and would love to become a legal cost consultant. **Requirements**: Must have had litigation experience and / or legal costs experience during articles. Own transport essential. Salary is performance based and applicants need to be self driven. Law firm in...

Gauteng, Pretoria East - R 15 000 - R 25 000 Junior Conveyancer **Well established law firm in Pretoria East is looking for a Junior Conveyancer to join their team** **Minimum requirements**: - LLB degree - Must be an admitted attorney and admitted conveyancer - Minimum of 1 - 2 year experience dealing with commercial bonds and correspondent...

**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 SANC **Skills and Competencies...