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30.08.2024
Clinical Pre-Authorisation Consultant - Registered Nurse Market-Related
Pretoria
... ibilitiesApplication Review: You’ll be responsible for receiving and processing applications that necessitate pre-authorization.Telephonic Authorizations: Handle pre-authorizations for hospital and radiology services via the call center.Data Entry and Verification: Accurately capture and ...
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Qetello Holdings
14.03.2024
Medical Credit Controller R 15 000.00 – R19 000.00 CTC per month depending
Johannesburg
... bank statements. Obtain and input manual Remittance Advices (RA) Resolve rejections from medical aids and upfront claim rejections Submit paper claims when electronic submission is not possible Provide timely responses to inquiries from both medical practices and patients Follow the handover ...
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Qetello Holdings
22.01.2024
Medical Pre-Authorisation Consultant - Enrolled Nurse Market Related
Pretoria
... ibilities Receive applications for all services, which require pre-authorisation and attend to the request. Capture clinical information and verify the information, including the applicable ICD-10 and item codes. Validate and evaluate special pre-authorisation requests. Prepare a summary of the ...
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Qetello Holdings
16.04.2024
IT Governance Administrator Market Related
Pretoria
... ibilities Functions: Develop and maintain IT risk and compliance frameworks, policies, processes, and procedures. Implement best practices and approved IT governance frameworks. Monitor compliance with IT security policies and ensure alignment with the organisation's business objectives. ...
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Qetello Holdings
16.04.2024
It Business Consultant Pretoria
Pretoria
... ibilities Functions: Partner with different departments to facilitate support between business operations and IT systems. Provide user support on various BIT platform modules, including claims, finance, membership, and manage healthcare. Respond to user queries and issues promptly, resolving or ...
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Qetello Holdings
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