Pre-Authorisation Consultant – Enrolled Nurse

Medical Resources Group (Pty) Ltd; Pretoria; On-site; ZAR 300 000 - 400 000; Full time

Job summary

A healthcare service provider in Pretoria seeks a Pre-Auth Consultant (Enrolled Nurse) to deliver managed healthcare services via email. The successful candidate will have 5+ years of nursing experience, be an Enrolled Nurse with active SANC membership, and possess strong writing and negotiation skills. This role includes a competitive salary and an exceptional benefits program alongside a commitment to team innovation and member well-being.

Benefits

Competitive salary

23 days of annual leave

Life cover

Disability benefits

Funeral cover

Pension fund

Medical aid

Free parking

On-site gym

Subsidised meals

Wellness programs

Qualifications

• Minimum 5 years clinical related work experience.
• Must maintain accurate record-keeping and documentation.
• Adapt to change and management decisions.

Responsibilities

• Employ negotiation skills to facilitate the pre-authorisation process.
• Provide cost-effective managed healthcare services primarily through email correspondence.
• Demonstrate strong organisational skills and attention to detail.

Skills

Strong writing skills

Computer skills (MS Word, MS Excel, MS Office, Outlook, Internet)

Strong organisational skills

Attention to detail

Negotiation skills

Interpersonal communication skills

Caring attitude

Problem-solving skills

Leadership skills

Education

Grade 12 qualification

Enrolled Nurse certification

Active SANC Membership

Job description

Our client is looking for a Pre-Auth Consultant (Enrolled Nurse) to deliver cost-effective managed healthcare services primarily via email correspondence, ensuring member satisfaction. The ideal candidate will have a Grade 12 qualification, Auxiliary Nursing certification, active SANC membership, a minimum of 5 years' experience as a nursing practitioner, and at least 1 year of experience in the medical funding industry.

Functions

• Employ negotiation skills to facilitate the pre‑authorisation process.
• Maintain accurate record‑keeping and documentation of pre‑authorisation requests.
• Provide cost-effective managed healthcare services primarily through email correspondence.
• Utilise strong writing skills in English to effectively communicate with members.
• Utilise computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook, and Internet applications.
• Demonstrate strong organisational skills, attention to detail, and ability to prioritise tasks effectively.
• Maintain strong interpersonal communication skills and effectively work within a team environment.
• Demonstrate a caring attitude and behaviour towards members.
• Adapt to change and management decisions to achieve common goals.
• Utilise problem‑solving techniques to address member queries and concerns.
• Provide training to staff on a continual basis and demonstrate leadership skills.
• Take responsibility for tasks and foster good interpersonal relationships with staff.

Requirements

• Grade 12 qualification.
• Enrolled Nurse.
• Active SANC Membership.
• Minimum 5 years clinical related work experience.

Skills

• Strong writing skills.
• Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook and Internet.
• Strong organisational skills, attention to detail and ability to prioritise.
• Strong negotiation skills.
• Language skills and strong interpersonal communication skills.
• Ability to work with people and be a team player.
• Caring attitude and behaviour.
• Strong sense of self‑esteem and confidence.
• Flexibility in adapting to change and management decisions to achieve common goals.
• The application of problem‑solving techniques.
• Ability of record keeping and documentation.
• Prepared to train staff on continual basis.
• Leadership skills.
• Taking responsibility, must have good interpersonal relationship with the staff.

Remuneration

• Competitive salary commensurate with experience.
• Exceptional benefits program including 23 days of annual leave, 8‑hour workday with a 30min break, life cover, disability benefits, funeral cover, pension fund, medical aid, and more.
• Office perks: free parking, Wi‑Fi, landline phone allowance, on‑site gym, subsidised meals, free refreshments, Athletics Club, Pilates, and wellness programs.
• Dynamic team interactions, recognition programmes, and incentives.

Join Our Client

Be part of a team that values innovation, quality service, and the well‑being of its members. Apply today to contribute to a leading medical scheme's success and make a difference in the lives of many.

Application Process

candidates should submit their CV and cover letter, highlighting their experience related to the job functions and skills listed above to [e-mail] with REF Pre Auth. If you do not hear back from us within 2 weeks of applying, please consider your application unsuccessful.