pre authorization agent

Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meets the requirements of clinical appropriateness, medical necessity and clinical risk management. Experience: A minimum of 2-3 years’ experience in Managed Healthcare will be advantageous. Qualifications: A formal nursing qualification and registration/enrolment with...

Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meets the requirements of clinical appropriateness, medical necessity and clinical risk management. Experience: A minimum of 2-3 years’ experience in Managed Healthcare will be advantageous. Qualifications: A formal nursing qualification and registration/enrolment...

Private Health Administrators (Pty) Ltd seeks a qualified nurse to issue accurate pre-authorisations, ensuring clinical appropriateness and risk management. A formal nursing qualification with SANC registration or equivalent healthcare credential is mandatory, with 2–3 years in managed healthcare preferred. The role involves data capture, call centre...

Private Health Administrators (Pty) Ltd seeks a qualified nurse to issue accurate pre-authorisations, ensuring clinical appropriateness and risk management. A formal nursing qualification with SANC registration or equivalent healthcare credential is mandatory, with 2–3 years in managed healthcare preferred.The role involves data capture, call centre...

Tafadzwa is recruiting a Consultant: Medical Management responsible for implementing medical management activities, exception handling and providing administrative support in claims processing. The role involves medical assessments, injury reports, claims pre-authorization, and multidisciplinary case reviews.You will maintain exception handling processes,...

Overview ISTA Personnel Solutions South Africa is a dynamic and fast-growing BPO company based in South Africa, specializing in providing top-tier operational support to U. S.-based companies. We are not a recruitment agency—we are a dedicated extension of our clients\' teams, delivering high-quality service with precision, efficiency, and a personal...

OverviewISTA Personnel Solutions South Africa is a dynamic and fast-growing BPO company based in South Africa, specializing in providing top-tier operational support to U.S.-based companies. We are not a recruitment agency—we are a dedicated extension of our clients\' teams, delivering high-quality service with precision, efficiency, and a personal...

Introduction An international organization providing business solutions for HR, Operations, Commerce and Finance to all industries, is looking for an experienced Microsoft 365 Dynamics Pre Sales Agent to join their team.   Duties & Responsibilities Business Analysis and Solution Design: Understanding client requirements, mapping business processes, and...

Additional Information Job Number 26095103 Job Category Rooms & Guest Services Operations Location 7 East Pier Road, Cape Town, The Western Cape, South Africa, 8001VIEW ON MAP Schedule Full Time Located Remotely? N Position Type Non-Management Position Summary Answer, record, and process all guest requests, questions, or concerns via telephone, email, chat,...

The firm's design authority and its pursuit-shaping capability in one seat. You decide how solutions are built, and you shape how they are won. ABOUT CENTRAX DIGITAL Centrax Digital is an AI-first consulting and digital engineering firm operating from Bryanston, Sandton and Grand Prairie, Texas. We are a Level 1 B-BBEE, black woman-owned Advanced Zoho...

You make sure Centrax sells what it can deliver, at margins it can sustain. ABOUT CENTRAX DIGITAL Centrax Digital is an AI-first consulting and digital engineering firm operating from Bryanston, Sandton and Grand Prairie, Texas. We are a Level 1 B-BBEE, black woman-owned Advanced Zoho Partner. Our work spans AI and advisory, platforms, cloud and security,...

Our well-known automotive dealership client based in Bryanston currently holds a vacancy for an experienced Used Sales Manager with a proven track record of selling not less than 30 vehicles per month, experience in buying vehicles, CMS Lead management, strong assertive leader to 6 staff members. MAIN PURPOSE OF JOB: The main purpose of this position is to...

Bestmed Medical Scheme Job DescriptionBestmed is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing healthcare to the lives of South Africans for over 60 years.Bestmed strives to be an employer of choice by:Creating a Personally Ours culture where we can all contribute in our unique way to make Bestmed...

Bestmed Medical Scheme Bestmed is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing healthcare to the lives of South Africans for over 60 years. Bestmed strives to be an employer of choice by: Creating a Personally Ours culture where we can all contribute in our unique way to make Bestmed the best...

Designated Agent Motor Industry Bargaining Council Bloemfontein, ZA About the Role We are seeking a highly motivated and detail-oriented Designated Agent to join our organisation. This role involves managing administrative processes, conducting inspections, supporting employer compliance, handling returns and complaints, and assisting with legal and...

IntroductionJoin a high-performing medical aid scheme where your clinical expertise truly makes an impact. Thrive in a fast-paced, dynamic managed healthcare environment while delivering cost-effective managed care that improves member outcomes and satisfaction. Enjoy the rewards of meaningful work, professional growth, and being part of a team committed to...

Job Opportunity: Senior Pre-Sales EngineerAre you ready to pioneer the future of energy solutions as a Senior Pre-Sales Engineer?Duties & ResponsibilitiesJob & Company Description:My client is a world-renowned authority in the realm of energy optimization and automation solutions, operating on a global scale. They specialize in providing comprehensive...

Overview High earning potential! Earn R20 K+ including commission. We are looking for money-driven Durban SALES GURUS to join our high performing sales team in a telecommunications Leader. If you are passionate, tenacious and love making money, then this is for you! Responsibilities Call pre-qualified clients existing and new customers to sell variety of...

About The Role We are seeking a highly motivated and detail-oriented Designated Agent to join our organisation. This role involves managing administrative processes, conducting inspections, supporting employer compliance, handling returns and complaints, and assisting with legal and regulatory matters. The successful candidate will play a pivotal role in...

Designated Agent Motor Industry Bargaining Council Bloemfontein, ZA About the Role We are seeking a highly motivated and detail-oriented Designated Agent to join our organisation. This role involves managing administrative processes, conducting inspections, supporting employer compliance, handling returns and complaints, and assisting with legal and...