Clinical Pre-Authorization Expert
4 days ago
We are seeking a highly skilled Clinical Pre-Authorisation Consultant to join our dynamic team at Ananzi. As a Registered Nurse with at least two years of experience in Managed Healthcare or Private Hospital settings, you will be responsible for processing and evaluating pre-authorisation applications.
Responsibilities:- Pre-Authorisation Applications: Evaluate and process pre-authorisation applications for hospital and radiology services.
- Call Center Support: Handle telephonic authorisations, providing exceptional service to patients and service providers.
- Clinical Data Management: Capture and verify clinical details, including ICD-10 and item codes.
- Membership Benefits: Validate membership status and available benefits prior to granting authorisation.
- Special Requests: Assess and process special pre-authorisation applications.
- Clinical Analysis: Analyse medical reports and doctors' motivations.
- Record Keeping and Compliance: Maintain accurate records of all transactions and documentation, ensuring compliance with scheme rules.
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Clinical Pre-Authorisation Consultant
1 day ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeJoin Our TeamJoin our team in Pretoria as we collaborate with our valued client to seek a Clinical Pre-Authorisation Consultant (Registered Nurse). We are looking for an ideal candidate who holds a Registered Nurse qualification, backed by a degree or diploma and is registered with the South African Nursing Council (SANC). Additionally, the candidate should...
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Pre-Auth Nursing Expert
1 day ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeAbout the RoleThis is an exciting opportunity to join our dynamic team at Qetello Holdings as a Clinical Pre-Authorization Consultant. As a key member of our managed care team, you will play a vital role in ensuring seamless pre-authorization processes for our clients.ResponsibilitiesApplication Review: Responsible for reviewing and processing applications...
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Clinical Pre-Authorisation Consultant
4 days ago
Pretoria, Gauteng, South Africa Ananzi Full timeOur 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, with at least two years of experience in Managed Healthcare or Private Hospital settings, we encourage you to applyKey Responsibilities:Application Review:...
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Clinical Pre-Authorisation Consultant
3 weeks ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeOur 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 applyKey...
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Clinical Pre-Authorisation Consultant
4 weeks ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeOur 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 applyKey...
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Member Care Clinical Consultant
21 hours ago
Pretoria, Gauteng, South Africa H2R Africa Full timeEnsuring that healthcare services requiring pre-authorization are evaluated and processedPOSITION INFO :Our client in the Medical Industry, based in Pretoria, has a Permanent vacancy for a Member Care Clinical Consultant (Pre-Autorisation).Job Purpose :The role of a Member Care Clinical Consultant (Pre-Authorisations) involves ensuring that healthcare...
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Pre-Authorisation Consultant
18 hours ago
Pretoria, Gauteng, South Africa H2R Africa Full timeAbout the RoleWe are seeking an experienced Pre-Authorisation Consultant to join our team at H2R Africa. The successful candidate will play a critical role in ensuring that healthcare services requiring pre-authorisation are evaluated and processed efficiently.The ideal candidate will possess sound knowledge of the South African healthcare industry, current...
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Clinical Coding Expert
4 days ago
Pretoria, Gauteng, South Africa Hftbilling Full timeHftbilling requires a Clinical Coding Expert to review and validate patient charts for accuracy. The successful candidate will have a strong understanding of ICD-10 and CPT coding guidelines, as well as experience working with electronic health records.ResponsibilitiesReviewing patient charts for coding accuracyApplying ICD-10 and CPT coding...
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Clinical Care Specialist
18 hours ago
Pretoria, Gauteng, South Africa H2R Africa Full timeJob DescriptionH2R Africa seeks a skilled Clinical Care Specialist to join our team. The successful candidate will be responsible for evaluating and processing pre-authorisation requests for healthcare services.The ideal candidate will have a strong clinical background, excellent communication skills, and the ability to work effectively in a fast-paced...
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Medical Pre-Authorisation Consultant
22 hours ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeTogether 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...
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Head of Clinical Research
21 hours ago
Pretoria, Gauteng, South Africa Pillango Placements Full timeAre you an experienced professional in the field of Clinical Research who is deeply passionate about contributing to the South African community and committed to making a meaningful impact and taking on a leadership role?Become part of an organisation dedicated to driving social change and take responsibility for a research site in East London, conducting...
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Wound Care Educator
18 hours ago
Pretoria, Gauteng, South Africa Ultra Pharmaceutical And Medical Placements Full timeJob Title: Clinical Educator Wound Care PretoriaAbout Us:We are a well-established medical supplier with a strong presence in the Pretoria territory. Our team is dedicated to providing high-quality services and products to our customers.About the Job:We are seeking an experienced Clinical Educator to join our team. As a Clinical Educator, you will be...
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Prudential Authority Actuary
18 hours ago
Pretoria, Gauteng, South Africa South African Reserve Bank Full timeAbout this Opportunity">">This Prudential Authority Actuary role offers a challenging and rewarding career opportunity for an experienced actuary to join the Prudential Authority team.">Key Responsibilities">">Regulate and supervise actuarial risks in insurance entities, ensuring compliance with regulatory requirements.">Collaborate with stakeholders to...
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Clinical Coding Specialist
21 hours ago
Pretoria, Gauteng, South Africa Discovery Limited Full timeJob OverviewManage single and multi-service projects, ensuring quality deliverables on time, within budget and to the customer's satisfaction. Provide expert skills as part of a Clinical Data Management (CDM) team to provide quality data that meet customer needs. Provide leadership to the team in the area of coding, project planning and execution, financial...
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Clinical Quality Assurance Coach
21 hours ago
Pretoria, Gauteng, South Africa H2R Africa Full timeEnsuring that the team maintains high standards of clinical quality and compliance.POSITION INFO :One of our clients in the Healthcare Industry specialising in the provision of customised integrated health risk and clinical management services, has a permanent vacancy available for a Clinical Quality Assurance Coach to join their dynamic team in Pretoria.Job...
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Clinical Educator
1 day ago
Pretoria, Gauteng, South Africa Emporium Human Capital Full timeClinical Educator - Advance Wound Care POS25073A Area : Pretoria Salary : R55000.00pm - R65000.00 pm Required Experience · Registered Nurse with a bachelors degree · Preferred WHASA or recognized wound management certificate · 2 years experience in a clinical setting working with patients and/or end users · Previous medical industry experiences an asset...
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Advanced Wound Care Clinical Training Expert
18 hours ago
Pretoria, Gauteng, South Africa Ultra Pharmaceutical and Medical Placements Full timeAdvanced Wound Care Clinical Training ExpertUltra Pharmaceutical and Medical Placements is seeking an experienced Clinical Trainer to provide advanced wound care training in the Pretoria territory. The ideal candidate will have a strong understanding of wound care principles and be able to deliver engaging education programs.ResponsibilitiesDeliver education...
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Clinical Writer Expert
2 days ago
Pretoria, Gauteng, South Africa MMS Holdings Inc Full timeAbout MMS Holdings IncWe support the pharmaceutical, biotech, and medical device industries with a unique blend of innovation and expertise.Our commitment to delivering high-quality results has earned us a reputation as a trusted partner, with a 97 percent customer satisfaction rating.We are currently seeking a highly skilled Medical Writer to join our South...
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Senior Clinical Data Coder
21 hours ago
Pretoria, Gauteng, South Africa Iqvia Argentina Full timeJob OverviewManage single and multi-service projects, ensuring quality deliverables on time, within budget and to the customer's satisfaction; Provide expert skills as part of a Clinical Data Management (CDM) team to provide quality data that meet customer needs; Provide leadership to the team in the area of coding, project planning and execution, financial...
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Senior Clinical Data Coder Expert
18 hours ago
Pretoria, Gauteng, South Africa Iqvia Argentina Full timeJob Overview">We are seeking a highly skilled Clinical Data Coder to lead our team in managing the delivery of coding and data management processes for multiple global projects. As a key member of our Clinical Data Management (CDM) team, you will provide expert skills to ensure quality deliverables on time and to customer satisfaction.">Key...