Healthcare Access Specialist

2 days ago


Nelspruit, Mpumalanga, South Africa Mediplus SA Full time

Mediplus SA's Clinical Benefits Agent plays a vital role in delivering exceptional service to our members. This individual will be responsible for managing pre-authorizations, overseeing case management, and facilitating communication among stakeholders to ensure seamless patient care.

Key Skills and Qualifications
  • Case Management Expertise: Proven ability to manage complex patient cases, coordinate care plans, and optimize resource utilization.
  • Communication and Negotiation: Excellent verbal and written communication skills, with the ability to negotiate cost-effective healthcare tariffs.
  • Risk Management: Strong understanding of healthcare regulations and compliance requirements, with the ability to identify and mitigate risks associated with patient care.
  • Technical Skills: Proficiency in using case management software, ICD-10 codes, and procedure codes, as well as excellent interpersonal skills and attention to detail.

We offer a collaborative work environment, opportunities for professional growth, and competitive compensation and benefits.



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