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Claims Consultant Jobs in Gauteng

Jobs 1-4 of 4

Development Consultant Sunninghill

 Universal HealthJohannesburg

The business consultant will be responsible for driving new business growth, requiring proactive efforts proven track record in business development and consultancy in healthcare. Broker and Corporate Relationship engagement with potential clients. Implement a consultative sales approach, understanding the unique needs advantageous. 3 -5 years of experience in business consulting, with a focus on healthcare services. Proven


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New Bisuness Development Consultant

 Universal HealthJohannesburg

The business consultant will be responsible for driving new business growth, requiring proactive efforts proven track record in business development and consultancy in healthcare. Broker and Corporate Relationship engagement with potential clients. Implement a consultative sales approach, understanding the unique needs advantageous. 3 -5 years of experience in business consulting, with a focus on healthcare services. Proven


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Radiology Expert Sunninghill

 Universal HealthJohannesburg

experience in a medical imaging business/practice with claims processing responsibilities within a medical scheme radiology-related claims, and collaborates with healthcare providers to facilitate efficient claims processing radiology-related claims submitted by healthcare providers to the medical scheme. Verify the accuracy of claims documentation invoices, and supporting documents Ensure radiology claims comply with the medical scheme's policies, guidelines Adjudicate radiology-related claims promptly and accurately, making decisions on claim approval, denial, or modification


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Management Nurse Sunninghill

 Universal HealthJohannesburg

providers by members that have been identified through claims analyses as high utilisers. The Risk Management Member High utilisation Establish or verify if the claims data is a true reflection of the member's health Explain any limits that apply to the number of consultations that a member is entitled to and processes to where necessary Inbound calls Manage Member GP consultation -Authorise GP Authorisation request and Out


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