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...

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...

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...

oAge 30 to 45oNeed to be able to multitask oNeed medical backgroundoNeeds some form of ICD 10 coding knowledge oThey need to be results driven oThey need to be able to work under pressure and work well in a team oNeed to be able to diligently & accurately follow instructionsoNeed to have good communication skills and be friendlyoNeed to be good at time...

oAge 30 to 45oNeed to be able to multitask oNeed medical backgroundoNeeds some form of ICD 10 coding knowledge oThey need to be results driven oThey need to be able to work under pressure and work well in a team oNeed to be able to diligently & accurately follow instructionsoNeed to have good communication skills and be friendlyoNeed to be good at time...

o Age 30 to 45 o Need to be able to multitask o Need medical background o Needs some form of ICD 10 coding knowledge o They need to be results driven o They need to be able to work under pressure and work well in a team o Need to be able to diligently & accurately follow instructions o Need to have good communication skills and be friendly o Need to be...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team. **3SIXTY HEALTH **3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ‘’black excellence’’3Sixty Health is 100% black owned and black managed...

Join Our Exclusive Talent PoolWe 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 by...

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...

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...

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...

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...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team.3SIXTY HEALTH 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ''black excellence''3Sixty Health is 100% black owned and black managed administrator. It...

Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse) Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential) Duties and Requirements includes but is not limited to the following:Knowledgeable of the Medical Schemes Act and Government Gazette on...

Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse) Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential) Duties and Requirements includes but is not limited to the following:Knowledgeable of the Medical Schemes Act and Government Gazette on...

Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse) Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential) Duties and Requirements includes but is not limited to the following:Knowledgeable of the Medical Schemes Act and Government Gazette on...

Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse) Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential ) Duties and Requirements includes but is not limited to the following: Knowledgeable of the Medical Schemes Act and Government Gazette on...

Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse) Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential) Duties and Requirements includes but is not limited to the following:Knowledgeable of the Medical Schemes Act and Government Gazette on...

Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse) Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential ) Duties and Requirements includes but is not limited to the following: Knowledgeable of the Medical Schemes Act and Government Gazette on...