Consultant:Pre- Authorisation

Pivot Services; Centurion; On-site; ZAR 250,000 - 350,000; Full time

Benefits offered by this job

Matched alerts

Application tracking

Follow-up reminders

Job summary

Pivot Services in Centurion, Gauteng, South Africa, is looking for an analytical Pre-Authorisation Consultant within our Hospital Benefit Management group. The role leverages Clinical, Pre-Authorisation and Case Management experience to build effective relationships with members via telephony.

You will handle pre-authorisation and case management in a call centre setting, follow Scheme Rules, allocate facilities for members, address clinical queries, assist with health risk management and

Responsibilities

• Ensuring successful & smooth Pre-Authorisation and case management process telephonically in a call centre environment, on email and online chat.
• Ensure adherence to Scheme Rules on all Hospital Authorisations and clinical updates.
• Ensure correct allocation of facilities for our Members.
• Effective handling of Internal/External Clinical Queries Communicate with members and service providers to address hospital utilisation matters.
• Assist with Health Risk Management Monitoring & Management of hospital re-admissions.
• Compile & submit detailed reports to the Scheme on costs and patient’s progress.

Job description

Added: 27 October 2026 Listing date: Not supplied

Verified listing Employer, application source and closing date checked before publication.

About the Role

An exciting opportunity for an analytical and attention-to-detail Pre- Authorisation Consultant exists in the Hospital Benefit Management group. The successful candidate will utilise their Clinical, Pre-Authorisation & Case Management experience to build effective relationships with our members telephonically.

Key Responsibilities

• Ensuring successful & smooth Pre-Authorisation and case management process telephonically in a call centre environment, on email and online chat.


• Ensure adherence to Scheme Rules on all Hospital Authorisations and clinical updates.


• Ensure correct allocation of facilities for our Members.


• Effective handling of Internal/External Clinical Queries Communicate with members and service providers to address hospital utilisation matters.


• Assist with Health Risk Management Monitoring & Management of hospital re-admissions.


• Compile & submit detailed reports to the Scheme on costs and patient’s progress.

Salary

R49 per year · Renews annually until cancelled

Benefits

• Matched alerts


• Application tracking


• Follow-up reminders