Healthcare Pre-Approval Specialist
4 days ago
- Manage and process applications for services requiring pre-authorisation, ensuring timely and accurate approvals.
- Capture and verify clinical information, including ICD-10 and item codes, to support informed decision-making.
- Evaluate complex pre-authorisation requests, applying comprehensive knowledge of medical schemes and protocols.
- Prepare detailed summaries of members' clinical histories for medical advisors, facilitating informed decisions.
- Maintain effective communication with stakeholders, including seniors and providers, to ensure smooth workflow and resolve potential conflicts.
- Grade 12 qualification
- Completed qualification as an Enrolled Nurse
- Registered with SANC
- At least 2 years of experience in Managed Healthcare
- Excellent verbal and written English communication skills, with proficiency in Afrikaans
- Able to work independently, with good decision-making skills and a strong work ethic
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Healthcare Pre-Authorisation Specialist
5 days ago
Pretoria, Gauteng, South Africa Medical Resources Group Full time**Job Overview:**We are seeking a skilled Clinical Pre-Authorisation Consultant to join our dynamic team at the Medical Resources Group. This role involves reviewing and evaluating pre-authorisation applications for hospital and radiology services.**Key Responsibilities:**Application Review: Process and evaluate pre-authorisation applications to ensure...
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Healthcare Pre-Authorisation Specialist
7 days ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeWe are seeking a skilled Clinical Pre-Authorisation Consultant to join our team at Qetello Holdings in Pretoria. As a registered nurse with a strong background in managed healthcare, you will be responsible for reviewing applications, processing telephonic authorisations, and accurately capturing clinical information.The ideal candidate will possess a...
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Healthcare Front Desk Specialist
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Clinical Pre-Authorisation Consultant
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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
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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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Medical Scheme Approval Coordinator
5 days ago
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Medical Approval Coordinator
4 days ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeJob SpecificationsValidated experience in managing and processing pre-authorisation requestsStrong analytical and problem-solving skills, with attention to detail and accuracyAbility to communicate effectively with diverse stakeholders, including medical advisors, providers, and senior managementFamiliarity with healthcare regulations, medical schemes, and...
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Healthcare Unit Lead
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Medical Healthcare Specialist
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Healthcare Cost Controller
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Nursing Care Specialist
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Medical Pre-Authorisation Consultant
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Pretoria, Gauteng, South Africa Qetello Holdings Full timeJob OverviewWe are seeking a skilled Medical Pre-Authorisation Consultant to join our team at Qetello Holdings. As an Enrolled Nurse with experience in Managed Healthcare, you will be responsible for ensuring seamless pre-authorisation processes.The ideal candidate must have a strong understanding of clinical information and the ability to evaluate special...
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Nurse Healthcare Authoriser
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Radiation Oncology Specialist
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Healthcare Operations Director
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Marketing Communications Specialist
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Diagnostic Imaging Specialist
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Laparoscopic Sales Specialist
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Healthcare Financial Specialist Deka Minas
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Pretoria, Gauteng, South Africa Swift Recruitment (Pty) Ltd Full timeSwift Recruitment (Pty) Ltd is seeking a highly skilled and experienced Microsoft Dynamics Consultant to join their team in the Healthcare industry.Job DescriptionWe are looking for an expert with strong knowledge of Microsoft Dynamics 365 modules and functionalities relevant to healthcare, including but not limited to Dynamics 365 for Healthcare...