Pre-Auth Consultant

Afrocentric Group; Cape Town; On-site; ZAR 300 000 - 400 000; Full time

Job summary

A healthcare organization in Cape Town is building a Talent Pool for experienced Pre-Authorisation Consultants. You will evaluate medical procedures and ensure compliance with healthcare regulations. Candidates must be registered nurses or hold equivalent qualifications with relevant experience in managed care. This is a great opportunity to be considered for future roles within the organization.

Qualifications

• Minimum Requirements: Registered Nurse (with valid SANC registration) or equivalent healthcare qualification.
• 1-2 years' experience in Managed Care Operations or Pre-Authorisation.
• Strong communication and administrative skills.

Responsibilities

• Assess and authorise medical procedures and hospital admissions according to clinical protocols.
• Liaise with healthcare providers, members, and internal departments.
• Ensure compliance with medical scheme rules and health legislation.

Skills

Attention to detail

Communication skills

Administrative skills

Education

Registered Nurse qualification

Job description

Introduction and Purpose

Are you a detail-oriented healthcare professional with a passion for service excellence?

We are building a Talent Pool of experienced Pre-Authorisation Consultants for future roles within our organisation.

If you have a background in managed care, nursing, or medical administration, we invite you to apply and be considered for upcoming opportunities. This is a general application to join our Talent Pool.

By applying, you will be considered for upcoming Pre-Authorisation Consultant roles as they become available continuously.

Duties & Responsibilities

Assess and authorise medical procedures and hospital admissions according to clinical protocols.

Liaise with healthcare providers, members, and internal departments.

Ensure compliance with medical scheme rules and health legislation.

Maintain accurate records and documentation.

Provide excellent customer service and resolve queries efficiently.

Desired Experience & Qualification

Minimum Requirements: Registered Nurse (with valid SANC registration) or equivalent healthcare qualification.

1–2 years' experience in Managed Care Operations or Pre-Authorisation.

Familiarity with medical scheme rules and healthcare regulations.

Strong communication and administrative skills.

Previous work in Medical Aid or Health Insurance sectors.