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 Areas** - Authorise 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...

Job Title: Healthcare Authorisation SpecialistThe Palesa Mbali Group is seeking a skilled Healthcare Authorisation Specialist to join our pre-authorisation call centre team. As a Healthcare Authorisation Specialist, you will be responsible for authorising hospital authorisation requests, ensuring that requirements of clinical appropriateness, medical...

About Palesa Mbali GroupPalesa Mbali Group is a dynamic organisation seeking a highly skilled Clinical Authorisation Specialist to join our pre-authorisation call centre team.Job SummaryWe are looking for a detail-oriented and customer-focused individual with a strong background in nursing and experience in clinical authorisation. The ideal candidate will...

Join Our Exclusive Talent Pool! We believe in nurturing talent and providing a platform for growth. As we expand our horizons, we are building a talent pool of passionate professionals who share our commitment to excellence. A growing Company situated in Benoni is looking for a Pre-Auth Agent who will facilitate the process of pre-authorization as requested...

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...

iStore is the home of everything Apple, and Africas 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. As the iStore Manager, you are at the steer of our...

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...

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...

**OBJECTIVE**: To support the SA Commercial Business to realize the commercial strategy and to achieve the annual targeted growth and revenue through successful new product introductions and maintenance of current product portfolio in the region, by ensuring successful Marketing Authorisation and variation approval from the Regulatory Authorities within the...

A Medical Insurance Company in Benoni is looking for a Registered Nurse - General. The Registered Nurse - General will Consult Health members via relevant platforms to diagnosis and provide treatment plans for members according to Primary Healthcare Guidelines and handling of calls within Service level agreements **Job Summary** - Consult with Affinity...

_**DETAILS OF THE VACANCY**_ **Job Title** Driver **Location** JHB **Pay Grade** (TEMP) Driver **Reporting to** Business Development Manager **Type of Position** Temporary **Working hours** Flexi-time in accordance with authorised production work plan, includes work on any day of the week including weekends and public holidays - **PURPOSE OF THE...

**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 title : Primary Years Programme Co-Ordinator ( Pre-School)Job Location : Gauteng, JohannesburgDeadline : January 02, 2025Quick Recommended Links Jobs by Location Job by industries Qualifications:  Degree in Education BEd (Foundation Phase/ Intersern Phase/ Senior Phase)   Have held a school /-wide curriculum-based position Experience:   More the 5...

Job title : Primary Years Programme Co-Ordinator ( Pre-School) Job Location : Gauteng, Johannesburg Deadline : January 02, 2025 Quick Recommended Links Jobs by Location Job by industries Qualifications:  Degree in Education BEd (Foundation Phase/ Intersern Phase/ Senior Phase)   Have held a school /-wide curriculum-based position ...

**Skills & Competencies** - In-depth Process Knowledge - Work experience in accounting, controlling or the related IT / business intelligence and analytics - Strong analytical skills and deep understanding of data models and structures - Understanding of process modelling - Change Management - Excellent and articulate communicator - Ability to influence and...

**Key Purpose Statement** The Primary Years Programme Coordinator (PYPC) is a member of the pedagogical leadership team which has an overarching responsibility for ensuring that the teaching and learning will be enriched in line with the philosophical and implementation requirements of the PYP Programme. **Key Relationships (Internal and External)**:...

**Experienced Medical Receptionist Specialised Dermatology, Johannesburg North** Our client, a specialist dermatologist based in the northern suburbs of Johannesburg, is seeking to recruit a professional medical receptionist who will attend to all the necessary responsibilities with professionalism and excellent patient care. **Responsibilities**: -...

About the job Experienced Medical Receptionist - Specialised Dermatology, Johannesburg North **Experienced Medical Receptionist Specialised Dermatology, Johannesburg North** Our client, a specialist dermatologist based in the northern suburbs of Johannesburg, is seeking to recruit a professional medical receptionist who will attend to all the necessary...