pre-auth consultant jobs in Centurion

A Medical Aid Administrator is seeking Pre-Auth Consultants to join their team in Centurion. In this role, you will work in a Call Centre environment, answering calls and queries from Members and/or Service Providers. Your role is provide authorization, for clinical procedures, as per the Scheme's rules. Requirements: - Matric / Grade 12 - SANC Nursing Qualification (RN) - 3 Years Nursing...

A prominent health insurance company is looking for a Dental Pre-Authorisation Consultant in Centurion, Gauteng. The role involves reviewing and managing dental pre-authorisation requests, ensuring compliance with clinical protocols and schemes. Candidates should have a Matric Certificate and relevant tertiary qualifications, along with at least two years of dental administration experience. The...

A healthcare service provider in Pretoria seeks a Pre-Auth Consultant (Enrolled Nurse) to deliver managed healthcare services via email. The successful candidate will have 5+ years of nursing experience, be an Enrolled Nurse with active SANC membership, and possess strong writing and negotiation skills. This role includes a competitive salary and an exceptional benefits program alongside a...

In order to be considered the following is required: - Bachelor’s degree or equivalent in Computer Science, Information Systems, Engineering or a related technical discipline (or equivalent experience) - ServiceNow Certified System Administrator / Implementation Specialist - AWS / Azure / GCP Cloud Practitioner or Architect-level certification - ScienceLogic SL1 Certified Engineer (or equivalent...

First Technology Centurion is looking for a dynamic and experience Pre-Sales Consultant acts as a strategic bridge between customers, sales, marketing, product development and technical teams, combining deep product expertise with strong communication skills to understand customer needs, design tailored solutions, and present them in a compelling way that drives value-based selling and wins new...

We're looking for an analytical, detail-oriented Consultants within the Hospital Benefit Management team . The role involves managing telephonic hospital pre-authorisations, clinical queries, and case management while building strong relationships with our members. Requirements: - Clinical Medical Associate qualification or Registered Nurse qualification - 1–2 years' Pre-Auth experience...

Provide support to the Sales effort by providing technical and client specific solution assistance to the BCX Sales team, through investigation, consultation and a thorough understanding of the client’s requirements which is achieved through co-operation and interaction with the Client, Sales, Product Management and Technical Architecture Divisions by playing a key role developing new business...

Job Advert Summary:An exciting opportunity for an analytical and attention-to-detail PreApplications are invited for the above-mentioned position, to be filled as soon as possible.Minimum Requirements:- Nursing qualification.- Emergency Services qualification or any other Clinical/Medical qualification- Previous exposure in a Managed Healthcare Call Centre- 10 years Pre-Auth experience if no...

Senior Power Platform and Modern Work Consultant Be among the first 25 applicants. Direct message the job poster from 4Sight Business Environment. Qualifications Bachelor’s Degree in Computer Science, Information Technology, or a related field. Microsoft Certifications (advantageous) - Microsoft Certified: Power Platform Functional Consultant - Microsoft Certified: Power Platform Solution...

At Zimele Technologies, we specialize in delivering comprehensive SAP ERP and Utilities (IS-U) solutions tailored to meet the diverse needs of organizations. Our expertise lies in maximizing the value derived from Information and Communication Technology (ICT) investments, ensuring compliance with government regulations, and providing prebuilt, internationally best-practice-aligned ERP systems....

Job Description We have an amazing opportunity for a Payroll Support Training Consultant in Centurion! We require a candidate with: •Senior Payroll Analyst / Administrator knowledge •In-depth understanding and knowledge of the payroll system •Extensive knowledge of Taxation and Payroll legislation •Ability to research and interpret legislated requirements to guide the payroll development...

Duties & Responsibilities Accountabilities: - Client service delivery and quality - Follow procedures and cooperate with peers and leader for best possible service delivery - Compliance and Risk Management - Defined legal, statutory and regulatory compliance is maintained at the required standards - Operational risk and governance structures, measures and frameworks are complied with and...

Your Purpose... - The purpose of this role is to Inspire people to live active lives and to ensure that the individual and club sales goal is achieved monthly by promoting and marketing Virgin Active as the preferred choice in the fitness industry. Your Duties and Responsibilities... - Plan each day and month in advance, to generate new leads, book new appointments, and present to customers...

Your Purpose...- The purpose of this role is to Inspire people to live active lives and to ensure that the individual and club sales goal is achieved monthly by promoting and marketing Virgin Active as the preferred choice in the fitness industry. Your Duties and Responsibilities...- Plan each day and month in advance, to generate new leads, book new appointments, and present to customers with...

Azure Cloud Consultant Qualifications - Relevant IT Degree / Certification - Relevant Azure Certification (Azure Solutions Architect, Azure DevOps Engineer, Azure Security Engineer Associate, MCSE, MCSA) Min 4 years relevant experience. Main Purpose: Assist business to leverage Microsoft Azure to meet their IT needs effectively. Responsibilities include, but are not limited to: - Cloud /...

Role Description:This role works in close collaboration with both the UK sales team and our South African delivery teams, who provide core technical support, solution development, and customer engagement expertise. By bridging business needs with technical delivery, you will enable scalable, high-quality solutions and support the expansion of First Digital’s UK operations.This position is...

Job Advert Summary An exciting and challenging opportunity for an energetic, attention to detail results focused Care Consultant exists. The successful candidate will utilise the HEAPS system(AI predicatable model) in co-ordination of clinical programs in Disease Risk & Care coach Management experience in building effective relationships with our members and manage the scheme's risk. Minimum...

Duties & Responsibilities Accountabilities: - Client service delivery and quality - Follow procedures and cooperate with peers and leader for best possible service delivery - Compliance and Risk Management - Defined legal, statutory and regulatory compliance is maintained at the required standards - Operational risk and governance structures, measures and frameworks are complied with and...

Our client is looking for a Pre-Auth Consultant (Enrolled Nurse) to deliver cost-effective managed healthcare services primarily via email correspondence, ensuring member satisfaction. The ideal candidate will have a Grade 12 qualification, Auxiliary Nursing certification, active SANC membership, a minimum of 5 years' experience as a nursing practitioner, and at least 1 year of experience in the...

A reputable Medical Aid is seeking Pre-Authorisation Consultants to join their team in Pretoria.Duties:- Client Relations: Assist the client by approving appropriate funding.- To deliver an effective Call centre service in order to achieve member satisfaction.- Risk Management: Reduce the risk associated with hospital and authorized cases- Telephone Etiquette: Answering telephone calls in a way...