Clinical Pre- Authorisation Consultant

Job Listing No: 9740000

Clinical Pre- Authorisation Consultant

Recru-IT – Centurion, Gauteng – The successful candidate must be a Registered Nurse with Medical Insurance experience. An exciting opportunity for an analytical and attention-to-detail Pre- Authorisation Consultant. The successful candidate will utilise their Clinical, Pre-Authorisation & Case Management experience to build effective relationships with our members telephonically. The position reports directly to the Service Manager: Managed HealthCare. THE IDEAL CANDIDATE SHOULD HAVE: v Grade 12 v A Registered Nursing Qualification v 5 Year’s work experience in Healthcare Administration v 5 Year’s work experience in Medical Insurance v Intensive Nursing Science & Operating Theatre Techniques qualification will be an added advantage v Previous exposure in Renal Dialysis, Oncology and/or Psychiatric environment would be most preferred v Exposure to Theatre and/or ICU in a private hospital will be an added advantage v Sound knowledge of the Coding Systems: ICD10 & CPT4 Principles and sound knowledge of the Medical Aid I… – Permanent – Full-time

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