Bestmed is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing healthcare to the lives of South Africans for over 60years. Bestmed strives to be an employer of choice by: • creating a Personally Ours culture where we can all contribute in our
Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have applications for all services, which require pre-authorisation and attend to the request. Capture clinical item codes. Validate and evaluate special pre-authorisation requests. Prepare a summary of the members' Monitor the flow of documents between the pre-authorisation division and the medical advisor. Approve
Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare the areas of clinical assessing/auditing, pre-authorisation and specialised case management Providing
Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare the areas of clinical assessing/auditing, pre-authorisation and specialised case management Providing
Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare the areas of clinical assessing/auditing, pre-authorisation and specialised case management
Employ negotiation skills to facilitate the pre-authorisation process. Maintain accurate record-keeping record-keeping and documentation of pre-authorisation requests. Provide cost-effective managed healthcare services
with our valued client to seek a Clinical Pre-Authorisation Consultant (Registered Nurse). We are looking
customer-centricity: Engage with providers and pre-authorisation agents to build informed and supportive mutual
customer-centricity: Engage with providers and pre-authorisation agents to build informed and supportive mutual
customer-centricity: -Engage with providers and pre-authorisation agents to build informed and supportive mutual