Pre-authorisation Consultant

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

**Pre-authorisations Consultant, Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Pre-Authorisations 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 within available...

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...

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 Required**: -...

Position**:Coordinator: Member Care** **(Pre-Reporting to: Contact Centre Operational Manager)** Location: On-site at the Head Office, Pretoria - **Please Note: 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...

**Position**:Member Care Clinical Consultant (Pre-authorisations) **Reporting to**: Operations Manager: Contact Centre **Location**:Head Office - Lynnwood, Pretoria (On-site) **Salary**: Market related CTC package that includes medical scheme and provident fund - **You will be required to work shifts between 07h00 and 19h00 (Monday to...

Position**:Member Care Clinical Consultant (Pre-authorisations)** Reporting to**:Operations Manager: Contact Centre Location: Head Office - Lynnwood, Pretoria **Salary**: Market related CTC package that includes medical scheme and provident fund **Qualifications**: - Registered/ Enrolled Nurse - Valid registration with SANC - _You will be required to work...

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 cost-effective managed healthcare services to accomplish member satisfaction. - Assisting...

Our client, a managed care organisation in Pretoria are currently looking for a Member Care Clinical Consultant (Pre-authorisations). - **You will be required to work shifts between 07h00 and 19h00 (Monday to Sunday).**_ **Reporting to**:Operations Manager: Contact Centre **Location**:Head Office - Lynnwood, Pretoria (On-site) **Salary**:Market related...

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 ourclient’s incident management process. Liaising with other fix groups and other plant based or...

**Essential skills**: - SAP BW Authorisations - SAP CRM Authorisations - SAP ERP Authorisation - SAP GRC **Advantageous**: - Functional knowledge of SAP Modules. - ABAP debugging beneficial (Workbench related knowledge of new development/enhancements). - Take consultative approach to challenge customers requested solution design, should a better...

Numsa Financial Services (NFS) is an authorised Financial Services Provider (FSP) accredited by the Financial Sector Conduct Authority (FSCA) and the Council of Medical Schemes (CMS). NFS was established in 2010, with the aim of providing members of the National Union of Metalworkers of South Africa(NUMSA) with affordable financial services products,...

2024-02-09 - 2024-03-09 - Permanent - JHB008837 - IT- Gauteng, Tshwane (Pretoria) - 1006_Operations Consultant Spanish Location: Gauteng Contract Term: 1 March 2024 - 31 December 2026 **ESSENTIAL SKILLS REQUIREMENTS**: - Fluent Business English (Verbal & written) - Fluent Business Spanish (Verbal & written) *** **ADVANTAGEOUS SKILLS...

iStore is the home of everything Apple, and Africa’s largest Apple Premium Reseller. With a retail footprint of more than 30 physical and online stores across Africa that provide expert advice, Apple Authorised Repairs, Business, Education, training and technical support for anything and everything Apple. We are looking for tech savvy, retail inclined...

Who are we? Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is...

Our client, a medical aid scheme in Pretoria are currently looking for a **Clinical Auditor/Snr Clinical Auditor. **This is a full-time hybrid position, and it will be expected of the successful individual to work at the office at least 3 days a week. About the role: To conduct clinical/coding audits according to the established internal, IIA and ISACA...

**Purpose of the Job** The Markets, Issuers and Intermediaries Department of the FSCA is responsible for licensing and supervising market infrastructures (i.e exchanges) operating within the South African financial markets in terms of the Financial Markets Act, 2012 (Act no 19 of 2012). The department has oversight responsibilities over public markets,...

2023-05-05 - 2023-05-31 - Permanent - JHB007608 - IT- Gauteng, Tshwane (Pretoria) - 2318_ **SAP Tax Consultant (Senior)** **Location: Gauteng** **Contract Term: 1 July 2023 - 31 December 2025** **ESSENTIAL SKILLS REQUIREMENTS**: - SAP Module Configuration and Customizing - Development documentation - Analyse and solve SAP Module issues - Conduct SAP...

The International Water Management Institute (IWMI), a CGIAR Research Center, is at the forefront of addressing water-related challenges in agriculture, climate change, and resilience through groundbreaking research. As part of our ongoing commitment to enhancing water and climate resilience, IWMI is actively seeking a dedicated Consultant to contribute to a...

Understand the business requirements, preparing AS-IS, and TO-BE documents and get sign-off from users for Business Blueprint document ABAP debugging beneficial (Workbench related knowledge of new development/enhancements) Setting up the organization structure of Materials Management and perform all relevant configuration for example Purchase Organisation,...