Pre-Auth Consultant - Talent Pool | Cape Town

AfroCentric Group; Wes-Kaap; On-site; ZAR 300,000 - 400,000; Full time

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.