Medical Pre-Authorisation Consultant

**Description**: Position: Coordinator: Member Care (Pre-authorisations) Reporting to: Contact Centre Operational Manager Location: On-site at the Head Office, Pretoria - **You will be required to work shifts between 7h00 and 19h00 (Monday to Sunday)**_ **Qualifications**: - Registered/ Enrolled Nurse - Valid registration with SANC **Skills and...

**Position: Coordinator: Member Care (Pre-authorisations)** **Reporting to: Contact Centre Operational Manager** **Location: On-site at the Head Office, Pretoria** - **You will be required to work shifts between 7h00 and 19h00 (Monday to Sunday)**_ **Qualifications**: - Registered/ Enrolled Nurse - Valid registration with SANC **Skills and Competencies...

A reputable Medical Aid is seeking a Qualified Enrolled or Registered Nurse to join their HBM (Hospital Benefit Management) team in Pretoria. (Office Based) **Job purpose**: - Delivering cost-effective managed healthcare services to accomplish member satisfaction. **Qualifications**: - SANC Registered - Excellent Communication Skills - Computer Literate...

2024-02-19 - 2024-03-20 - Permanent - JHB008987 - IT- Gauteng, Tshwane (Pretoria) - Monthly Basic Salary (Market related, Negotiable)**SAP Authorisation Consultant** **ESSENTIAL SKILLS REQUIREMENTS**: - Min 3 years’ experience years’ experience SAP Authorisation experience. - SAP S/4 Hana and Fiori: Fiori Launchpad and Administration - At least 1 full...

Our client, a non-profit, medical scheme is seeking a Pre-Auth Consultant HBM – Back Office for the Pretoria area.Behavioural Competency•Analytical thinking •Assertive•Caring and Confident•Emotional maturity•Flexible•Honest approach•Perceptive and professional behaviour•Self-motivated and Open-mindedDuties include but not limited...

About the job Member Clinical Associate, Pretoria **Member Clinical Consultant (Pre-authorisations), Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Member Clinical Consultant. **Roles and Responsibilities (but not limited to)**: - Attend to incoming calls from healthcare service providers and members/...

**Member Clinical Consultant (Pre-authorisations), Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Member Clinical Consultant. **Roles and Responsibilities (but not limited to)**: - Attend to incoming calls from healthcare service providers and members/ beneficiaries. - Verification of the eligibility of cover...

About the job Medical Receptionist **Medical Receptionist, Pretoria** Our client a Plastic and Reconstructive Surgeon based in Pretoria is seeking to recruit a medical receptionist. **Responsibilities;** - Answering calls - Make appointments - Managing the diary - Addressing queries - Managing the mobile phone after hours - Ensure all forms are completed...

Our client, a non-profit, medical scheme is seeking a Pre-Auth Consultant HBM – Back Office for the Pretoria area. Behavioural Competency • Analytical thinking • Assertive • Caring and Confident • Emotional maturity • Flexible • Honest approach • Perceptive and professional behaviour • Self-motivated and Open-minded Duties include but not...

**Medical Receptionist, Pretoria** Our client a Plastic and Reconstructive Surgeon based in Pretoria is seeking to recruit a medical receptionist. **Responsibilities;** - Answering calls - Make appointments - Managing the diary - Addressing queries - Managing the mobile phone after hours - Ensure all forms are completed prior to consultations - Process...

**PLEASE ONLY APPLY IF YOU QUALIFY IN FULL. IF YOU DO NOT GET FEEDBACK WITHIN TWO WEEKS PLEASE CONSIDER YOUR APPLICATION TO BE UNSUCCESSFUL**. Bachelor's degree in Business Administration and/ or Degree/Diploma in Nursing with management experience Minimum 5-years experience within a healthcare provider liaison/ key account role within a managed...

Gauteng, Tshwane (Pretoria) - Market related - Market related Monthly Cost To Company (Market related) Our client, in the Medical Industry has a permanent vacancy in for a client Relationship Manager. Th Company is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance...

A reputable Medical Aid is seeking an Administrator to join their PMB team. Job purpose: - Administration of PMB and CDL treatment plan authorisations. **Requirements**: - Grade 12 / Matric - 1 - 3 years' experience working in a Medical Aid environment using Administrative systems - Fair knowledge of the Medical Schemes Act, PMB legislation, ICD -10 and...

**Key Performance Area**: - Conducting Health Risk Assessments - pre-employment, annual and exit examinations across all sites - Treating Occupational diseases and injuries - Facilitate referrals to doctors, specialists or hospitals - Medical report interpretations for chronic diseases - Monitor and treat chronic health conditions - Liaise and engage with...

A reputable Medical Aid is seeking a clinically qualified Practice Consultant to join their team in Pretoria. **Duties**: - Provide optimal support to the healthcare providers on the network. - Expand the network and promote the Scheme. **Requirements**: - Grade 12 - Medical Degree - Minimum 3 years in a health related or Medical Aid Scheme environemnt -...

A Medical Aid in Pretoria is seeking a Service Provider Practice Consultant to join their Service Providers, Contracting and Research Department. **Duties**: - Proactively manage short paid and overcharged claims. - Increasing referrals to top-ranked Specialists. - Compiling, sharing and regularly updating Q&A documents and arranging Q&A sessions for staff...

One contract position for Medical Benefits Administrator is available.The position will be filled as a 12-months contract position. The incumbent will be responsible for a wide variety of tasks which includes but are not limited to the following: 1.Ensure documents received are read-in and read-out. 2.Ensure that all documents are correctly pre-verified...

About the job Medical Receptionist and Administrator **Medical Receptionist and Administrator, Pretoria** Our client, a paediatrician in Pretoria, is seeking to recruit an experienced, professional, motivated and dynamic medical receptionist and administrator to join their practice team. The successful applicant must be result-orientated with abilities,...

2024-02-19 - 2024-03-20 - Permanent - JHB008985 - IT- Gauteng, Tshwane (Pretoria) - Monthly Basic Salary (Market related, Negotiable)**SAP GRC Consultant** **ESSENTIAL SKILLS REQUIREMENTS**: - SAP BW Authorisations - SAP CRM Authorisations - SAP ERP Authorisations - SAP GRC - SAP Security - SAP Basis - Expertise in SAP on-Premise and Cloud solutions...

**Medical Receptionist and Administrator, Pretoria** Our client, a paediatrician in Pretoria, is seeking to recruit an experienced, professional, motivated and dynamic medical receptionist and administrator to join their practice team. The successful applicant must be result-orientated with abilities, knowledge, and skills to perform successfully in the...