with our valued client to seek a Clinical Pre-Authorisation Consultant. We are looking for an ideal candidate bring a minimum of two years of experience in Managed Healthcare or Private Hospital settings to the applications that necessitate pre-authorization. Telephonic Authorizations: Handle pre-authorizations for hospital Special Requests: Evaluate and process special pre-authorization requests. Code Accuracy: Ensure the protocols to minimize the scheme's risk. Data Management: Thoroughly and accurately record all relevant
with our valued client to seek a Clinical Pre-Authorisation Consultant. We are looking for an ideal candidate bring a minimum of two years of experience in Managed Healthcare or Private Hospital settings to the applications that necessitate pre-authorization. Telephonic Authorizations: Handle pre-authorizations for hospital Special Requests: Evaluate and process special pre-authorization requests. Code Accuracy: Ensure the protocols to minimize the scheme's risk. Data Management: Thoroughly and accurately record all relevant
Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have with SANC, with at least 2 years experience in Managed Healthcare.
Duties and responsibilities:
applications for all services, which require pre-authorisation and attend to the request.
Permanent vacancy for a Member Care Clinical Consultant (Pre-Autorisation).
Job Purpose:
Pre-Authorisations) involves ensuring that healthcare services requiring pre-authorization
and funding guidelines.
they are seeking a dedicated and experienced Case Manager to join their team.
Functions
updates of cases on the hospital list.
Automotive industry is looking for an experienced Case Manager
Minimum requirements:
case follow-ups from complainants and the automotive
group requires a Case Manager who is a REGISTERED NURSE and 2 years Case Management experience . Qualification: operations will secure 2-3' experience as a Case Manager within a medical aid entity or hospital environment Liaise with Receptionist for authorisations Ensure compliance to case management procedures, standards and hospitalisation Ensure the correct categorisation and management of different patient accounts to facilitate reimbursement Funders Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders Minimise
operations will secure
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You will plan, coordinate and execute case management work at hospital level.
The incumbent
with Receptionist for authorisations
Ensure compliance to case management procedures, standards
hospitalisation
Ensure the correct categorisation and management of different patient accounts to facilitate reimbursement
Funders
Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders
Minimise
/>Minimise financial risk by the effective management of patient hospitalisation
Follow the established
Reference: PTA023099-VS-1 Case Manager - Automotive industry Pretoria-East Area R35 000 CTC (Including Automotive industry is looking for an experienced Case Manager Minimum requirements: Matric Motor vehicle technical telephonic inquiries, requests for advice, and current case follow-ups from complainants and the automotive