Consultant: Pre Authorisations Pr0151
3 weeks ago
**Job Advert Summary**:
An exciting opportunity for an analytical and attention-to-detail Pre
The position reports directly to the Service Manager: Hospital Benefit Management.
**Minimum Requirements**:
- Nursing qualification.
- Emergency Services qualification or any other Clinical/Medical qualification
- Previous exposure in a Managed Healthcare Call Centre
- 10 years Pre-Auth experience if no clinical qualification
- Previous exposure in Renal Dialysis, Oncology and/or Psychiatric environment would be most preferred.
- Exposure to Theatre and/or ICU in a private hospital will be an added advantage.
- Sound knowledge of the Coding Systems: ICD10 & CPT4 Principles and sound knowledge of the Medical Aid Industry, Rules & Regulations, ISO and other related legislation
- Excellent business writing & communication skills with exceptional telephone etiquette.
- Must have strong organisational awareness to anticipate the impact of actions on other groups.
- Time Management & good administration skills
- Effective conflict resolution skills and the ability to work under pressure.
- Must be a strong team player and results driven.
- Computer literacy (MS Office and Medical Administration system)
**Duties and Responsibilities**:
- Ensure adherence to Scheme Rules on all Hospital Authorisations and clinical updates.
- Ensure correct allocation of facilities for our Members.
- Effective handling of Internal/External Clinical Queries Communicate with members and service providers to address hospital utilisation matters.
- Assist with Health Risk Management Monitoring & Management of hospital re-admissions.
- Compile & submit detailed reports to the Scheme on costs and patient’s progress.
- As a responsible employer, PPS encourages you to vaccinate and take the recommended vaccine boosters. The Company reserves the right to amend this stance, as and when required_.
-
Consultant:pre- Authorisation
3 weeks ago
Centurion, South Africa PPS Recruitment Full time**Job Advert Summary**: An exciting opportunity for an analytical and attention-to-detail Pre Applications are invited for the above-mentioned position, to be filled as soon as possible. **Minimum Requirements**: - Nursing qualification. - Emergency Services qualification or any other Clinical/Medical qualification - Previous exposure in a Managed...
-
Spec: Pre-sales
4 weeks ago
Centurion, South Africa BCXP Full timeBusiness unit, Department, ReportingBusiness UnitCloud Platform Services (CPS)DepartmentITSSReports toSenior Manager: HPE / CISCO/Huawei/Dell & other TechnologiesJob Grade/LevelS5 Core DescriptionTo provide support to the Sales effort by providing technical and client specific solution assistance to BCX Engagement. This is done through investigation,...
-
Casual Sales Consultant
4 weeks ago
Centurion, South Africa Core Group Full timeiStore Sales Consultant (Casual 108) 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...
-
Part-time Sales Consultant
4 weeks ago
Centurion, South Africa Core Group Full timeiStore Sales Consultant - (Flexi - 138) 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...
-
SAP Mm Consultant
3 weeks ago
Centurion, South Africa Skills Connector Full time**ESSENTIAL SKILLS REQUIREMENTS**: - SAP Module Configuration - Development of documentation - Analyse and solve SAP Module issues - Conduct SAP Module process configuration - Update and maintain all SAP Module functional documentation - Analyse and scope End-user authorisation roles - Conduct Unit tests, Integration tests and System Integration security...
-
Broker Commissions Consultant
6 days ago
Centurion, South Africa PPS Recruitment Full time**Job Advert Summary**: **Minimum Requirements**: Grade 12 Tertiary Qualification Basic accounting Customer service Company policies and procedures Knowledge Character / Dash Board / Knowledgebase system Excel / Office Word / Outlook Etiquette and Business Protocol **Duties and Responsibilities**: Answering broker calls, responding to all written...
-
Document Controller
4 weeks ago
Centurion, South Africa Elchemie Full time**Engineering Consulting firm based in Centurion, Gauteng, has a permanent vacancy for a Document Controller/Administrator. Grade 12, relevant tertiary qualification, own transport and at least one-year relevant experience with advanced Excel skills required.** **Requirements**: - Grade 12 & relevant Tertiary qualification - Minimum 1 year **document...
-
Medical Administrator
4 weeks ago
Centurion, South Africa PlaceTalent Full timeEducation:MatricSkills/Experience required:Minimum of 3 5 years as an Administrator for a Medical Specialist Detail oriented and able to multitaskFluent in Afrikaans and EnglishExcellent written and oral communication skillsJob Description:Answering of all calls in a professional, courteous and efficient manner.Take messages and ensure they are actioned by...
-
Medical Administrator
4 weeks ago
Centurion, South Africa Adzuna ZA B C2 Full timeEducation:MatricSkills/Experience required:Minimum of 3 5 years as an Administrator for a Medical Specialist Detail oriented and able to multitaskFluent in Afrikaans and EnglishExcellent written and oral communication skillsJob Description:Answering of all calls in a professional, courteous and efficient manner.Take messages and ensure they are actioned by...
-
Educational Psychologist
4 weeks ago
Centurion, South Africa Omega HR Solutions Full timeTo provide therapeutic intervention to STADIO students on campus one (1) day per week for four (4) hours for t**he period 1 March 2023 to 30 November 2023.** - Be available on campus one day per week for four (4) hours irrespective of pre-booked appointments - Honour pre-booked appointments with students - Complete the required STADIO documentation -...
-
Medical Receptionist, Centurion
4 weeks ago
Centurion, South Africa iMedrecruit Full timeAbout the job Medical Receptionist, Centurion **Medical Receptionist, Centurion** Our client a Gynaecologist and Obstetrician based in Centurion is seeking to recruit a medical receptionist. **Responsibilities**: - Answering calls - Diary management and appointments - Addressing queries - Managing the mobile phone after hours - Ensure all forms are...
-
Consultant: Disease Risk Management
7 days ago
Centurion, South Africa PPS Recruitment Full time**Job Advert Summary**: The position reports to the Service Manager: Disease Risk Management. **Minimum Requirements**: - Grade 12 - A Registered Nursing qualification - Disease Risk Management is essential - Sound knowledge of the Coding Systems: ICD10 & CPT4 Principles and sound knowledge of the Medical Aid Industry, Rules & Regulations, ISO and other...
-
Sales Support and Administration Assistant
4 weeks ago
Centurion, South Africa Jennings Consulting Full time**SUMMARY**: **POSITION INFO**: **Roles and responsibilities**: - Receipt of OTPs - Deed searches - Effective handling and administration of all bank processes - Provide consultants with feedback - Referring the accepted bond to insurance - Updating of attorneys - Perform all Deal Maker updates accordingly - ITC checks - Limited Pre-Approvals - General...
-
Senior Operations Manager
6 days ago
Centurion, South Africa H2R Full timeGauteng, Centurion - Market related - Market related Monthly Cost To Company (Market related) A large Medical Health Care facility in the East of Pretoria has a contract vacancy for a Senior Operations Manager with the possibility of becoming permanent after 12 months. To provide leadership and manage various operational teams to ensure the achievement and...
-
SAP Operations Engineer 0553
2 weeks ago
Centurion, South Africa Jordan HR Full timeRole Title (Role Level): SAP Operations Engineer (Senior) Product / Feature Team Information (if applicable)Supply Chain Execution - WIT· ESSENTIAL SKILLS REQUIREMENTS: · Experience in at least one of the following technologies would be beneficial:o SAP SD, MM (preferable)o SAP Analytics.o SAP HANA.o SAP ABAP.o Change request...
-
SAP Operations Engineer 0553
1 week ago
Centurion, South Africa Jordan HR Full timeRole Title (Role Level): SAP Operations Engineer (Senior) Product / Feature Team Information (if applicable)Supply Chain Execution - WIT· ESSENTIAL SKILLS REQUIREMENTS: · Experience in at least one of the following technologies would be beneficial:o SAP SD, MM (preferable)o SAP Analytics.o SAP HANA.o SAP ABAP.o Change request...
-
Spec: Strategy Planning and Execution
1 week ago
Centurion, South Africa BCXP Full timeStructure, Grade & Reporting Division Finance Department Business Excellence Reports to Senior Manager: Strategy Management Span of Control 0 Core Description Responsible for Support and contribute to the execution of strategic planning activities, seek out local & global research sources and support the analysis of shifts to the industry, competitor, and...
-
Spec: Strategy Planning and Execution
6 days ago
Centurion, South Africa BCXP Full timeBusiness Unit, Department, Reporting Division Finance Department Business Excellence Reports to Senior Manager: Strategy Management Span of Control 0 Core Description Responsible for Support and contribute to the execution of strategic planning activities, seek out local & global research sources and support the analysis of shifts to the industry,...
-
Centurion, South Africa Land Bank Careers Full time**Job Advert Summary**: The Land and Agricultural Development Bank of South Africa (Land Bank) is South Africa’s only specialist agricultural bank established in 1912, the bank’s sole objective is to serve South African commercial and emerging farmers and bring specially designed financial services within their reach. These services enable farmers to...
-
Senior Data Analyst
4 weeks ago
Centurion, South Africa Metamorphosis Integrated Solutions Full timeLocation: CenturionA Senior Data Analyst to join our data analyst team to deliver data driven products and insights to internal and external stakeholders through the professional implementation of designing, developing, testing, and presenting data products, models, and insights. To work closely with the data engineering team and business development, while...