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Clinical Authorisation Consultant
1 week ago
**Job Description:**
We are seeking a Clinical Authorisation Consultant to join our team at the Medical Resources Group. The ideal candidate will have a strong background in nursing and experience in managed healthcare or private hospital settings.
**Responsibilities Include:**
- Application Review: Evaluate pre-authorisation applications to determine eligibility and scope of benefits.
- Telephonic Authorisations: Handle pre-authorisations through the call center, providing clear and relevant information to patients and service providers.
- Data Entry & Verification: Accurately capture and verify clinical details, including ICD-10 and item codes, to maintain accurate records of all transactions and documentation.
- Membership Validation: Confirm membership status and available benefits prior to granting authorisation.
**Skills Required:**
- Strong technical and professional capabilities.
- Exceptional time and work management.
- Outstanding customer focus.
- Fluent in English (spoken and written) with understanding of Afrikaans.
