Pre-Authorization Manager
3 days ago
The Clinical Benefits Agent role at Mediplus SA requires an individual who can effectively communicate with members, client relations, and healthcare providers to ensure optimal patient care. Key responsibilities include managing pre-authorizations, coordinating case management, acting as a liaison, and negotiating tariffs.
Required Skills and Qualifications- Matric with mathematics.
- Diploma in risk or clinical nursing advantageous.
- Knowledge of Anatomy and Physiology.
- Previous experience in case management, pre-authorizations, or a similar role strongly advantageous.
- Strong negotiation and communication skills.
- Ability to manage multiple tasks and work under pressure.
- Knowledge of healthcare regulations and compliance requirements strongly advantageous.
- Proficiency in using case management software, ICD-10 codes, and procedure codes strongly advantageous.
- Excellent interpersonal skills and attention to detail.
- Reliable, professional, and able to work collaboratively within a diverse team.
- Knowledge of COID, medical aid rules, and managed healthcare policies.
Mediplus SA offers a collaborative work environment, opportunities for professional growth, and competitive compensation and benefits.
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Clinical Benefits Agent
4 days ago
Nelspruit, Mpumalanga, South Africa The Talent Room Full timeOur client based in Nelspruit is looking to appoint a Clinical Benefits Agent.The Clinical Benefits Agent is responsible for managing pre-authorizations and overseeing case management to ensure optimal patient care and efficient resource utilization. This role involves facilitating communication between members, client relations, and healthcare providers,...
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Clinical Benefits Coordinator
3 days ago
Nelspruit, Mpumalanga, South Africa Mediplus SA Full timeThe Clinical Benefits Agent role at Mediplus SA involves facilitating communication between members, client relations, and healthcare providers to ensure optimal patient care. This includes evaluating, processing, and communicating medical pre-authorization decisions.Key ResponsibilitiesManage Pre-Authorizations: Evaluate and process medical...
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Patient Advocacy Representative
3 days ago
Nelspruit, Mpumalanga, South Africa Mediplus SA Full timeMediplus SA's Clinical Benefits Agent is responsible for managing pre-authorizations, overseeing case management, and facilitating communication among stakeholders to ensure seamless patient care. This role requires strong negotiation and communication skills, as well as proficiency in using case management software, ICD-10 codes, and procedure codes.Key...
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Pre-Owned Vehicle Sales Professional
24 hours ago
Nelspruit, Mpumalanga, South Africa GAP Consulting Full timeExciting Opportunity for a Vehicle Sales Management SpecialistWe are seeking a highly skilled Vehicle Sales Management Specialist to join our team at GAP Consulting. This is an excellent opportunity to utilize your expertise in managing the sales of pre-owned vehicles in a corporate dealer group setting.About the RoleManage the sales team and contribute to...
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Healthcare Access Specialist
3 days ago
Nelspruit, Mpumalanga, South Africa Mediplus SA Full timeMediplus 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 QualificationsCase Management Expertise: Proven ability to...
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Automotive Sales Leader
24 hours ago
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Financial Manager
3 weeks ago
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Financial Manager
4 weeks ago
Nelspruit, Mpumalanga, South Africa Network Recruitment Full timeJob & Company Description: This is a well-established motor dealership group in South Africa, founded in 1968. Initially focused on a single vehicle brand, it has expanded into a multi-franchise group, now operating multiple dealerships that represent various brands, including Ford, Honda, Hyundai, Kia, Renault, and Haval. These dealerships are primarily...
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Vehicle Sales Management Specialist
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Nelspruit, Mpumalanga, South Africa GAP Consulting Full timeDealership Sales Expert WantedGAP Consulting is looking for an experienced Dealership Sales Expert to manage the sales of pre-owned vehicles in our corporate dealer group environment. As a key member of our team, you will be responsible for driving sales growth and ensuring exceptional customer satisfaction.ResponsibilitiesLead the sales team and drive sales...
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Automotive Sales Management Executive
3 days ago
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Haulage Operations Manager
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Dealership Pre Owned Vehicle Sales Executive
7 days ago
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Management Accountant
2 weeks ago
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Area Manager
3 weeks ago
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Forestry Operations Manager
4 days ago
Nelspruit, Mpumalanga, South Africa Sappi Full timeAt Sappi, we strive to deliver high-quality sustainable woodfibre products and solutions for the global markets. Our leadership is centred around safety, integrity, courage, and making smart decisions that we execute with speed.We are seeking an experienced Management Forester to plan and achieve operational estate management objectives and targets for fibre...
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Sustainable Resource Manager
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Estate Management Executive
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Grower Services Manager- Nelspruit
2 weeks ago
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Lodge Manager
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Transport Manager Curro Nelspruit
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