our client in Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate summary of the members' clinical history for the medical advisor. Monitor the flow of documents between between the pre-authorisation division and the medical advisor. Approve benefits accurately according to the the following: Comprehensive knowledge of the Medical Scheme Act; Sound knowledge of CPT-4, ICD-10 and
Provide clinical interpretation and analysis of medical reports and doctor's motivations. Information Dissemination: Knowledge: Comprehensive understanding of the Medical Schemes Act. Coding Proficiency: Sound knowledge
impacting financial services providers, including the Medical Schemes Act and FAIS legislation Strong understanding
impacting financial services providers, including the Medical Schemes Act and FAIS legislation Strong understanding