Clinical Pre- Authorization Agent

Private Health Administrators (Pty) Ltd · centurion, city of tshwane metropolitan municipality, South-Africa

Location
centurion
Job Type
Full-time
Posted
July 09, 2026

Job Description

Position: Clinical Pre- Authorization Agent

Location: Centurion, Gauteng

Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meets the requirements of clinical appropriateness, medical necessity and clinical risk management

Experience: A minimum of 2-3 years’ experience in a Managed Healthcare will be advanteagous..

Qualifications: A formal nursing qualification and registration/enrolment with SANC or a formal healthcare professional qualification (Registered / Enrolled Nurse). ( MANDATORY REQUIREMENT )

KEY PERFORMANCE AREAS

  • Advice on best practice health risk solutions to relevant parties
  • Application of clinical intervention principles
  • Advise on best practice health risk solutions to
  • Excellent understanding of Call Centre technology
  • Application of financial and risk assessment methodolog...

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