Medical Consultant: Pre-Authorization Expert

1 month ago


Pretoria, Gauteng, South Africa Qetello Holdings Full time

At Qetello Holdings, we're seeking a skilled Medical Consultant to spearhead our pre-authorization efforts. This pivotal role demands an individual with extensive experience in the medical funding industry and exceptional negotiation skills.

Salary

A competitive salary of $80,000 - $110,000 per annum is offered, commensurate with experience.

About the Role

The successful candidate will be responsible for delivering cost-effective managed healthcare services primarily through email correspondence, ensuring member satisfaction. Key responsibilities include:

  • Maintaining accurate record-keeping and documentation of pre-authorisation requests.
  • Employing negotiation skills to facilitate the pre-authorisation process.
  • Providing training to staff on a continual basis and demonstrating leadership skills.
Requirements

To excel in this position, you'll need:

  • A Grade 12 qualification.
  • Ambulance Assistant or Auxillary Nurse certification.
  • Active HPCSA/SANC Membership.
  • Minimum 5 years' clinical-related experience.
Key Skills and Qualifications

We're looking for an individual with:

  • Strong writing skills in English.
  • Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook, and Internet applications.
  • Strong organizational skills, attention to detail, and ability to prioritize.
Benefits

You'll enjoy a comprehensive benefits package, including:

  • Competitive salary.
  • Exceptional benefits program.
  • Dynamic team interactions, recognition programs, and incentives.


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