10 Medical Professions jobs in Pretoria on Job Mail

Together with our client we are recruiting for a Clinical Pre-Authorisation Consultant (Call Centre) in Pretoria. The Candidate must be a registered nurse with SANC and have at least two years’ experience in the private healthcare sector. Previous experience working at a Medical Aid Scheme would be an advantage.

Duties and Responsibilities

• Receive applications for all services which require pre-authorisation.
• Handling of telephonic authorisations, hospital, radiology and specialist referrals on the pre-authorisation call centre.
• Capture clinical information and verify the information, including the applicable ICD-10 and item codes.
• Confirm membership status & available benefits on the system before authorisation can be granted.
• Validate and evaluate special pre-authorisation requests.
• Ensure that the correct codes are used before benefits are approved.
• Clinical interpretation and analysis of medical reports and/or doctor’s motivation.
• Provide correct applicable information in respect of scheme rules, benefits & approvals in respect of all services requiring to patients and service providers.
• Approve benefits accurately according to the benefits per benefit option and strictly according to the protocols to reduce the Scheme’s risk in respect of benefits.
• Accurate and complete capturing of all relevant information as well as approved documents on the appropriate operational systems.
• Deliver a high-quality service to the members and service providers.
• Keep abreast of amendments to scheme rules, benefit options, legislation, protocols, processes and systems

Job requirements

• Matric
• A completed degree/diploma as a registered nurse and must be registered with SANC.
• Two year’s relevant experience in a private hospital.
• Comprehensive knowledge of the Medical Schemes Act.
• Sound knowledge of CPT-4 & ICD-10 codes RPL.

Must possess the following skills:

• Technical and professional knowledge and skills;
• Managing work;
• Customer focus;
• Good verbal and written English communication skills as well as proficiency in understanding Afrikaans spoken and written communication;
• Computer literate.
• Must work well with people, and be able to handle conflict situations

Salary

• R 27 000 – R 33 000 Cost to Company (depending on experience)

Benefits

• Pension Fund
• 13th cheque
• Medical Aid

If you meet the above mentioned requirements please send your CV, Qualifications and SANC registration to recruitment1@medicalresources.co.za with REF: Medical Case Manager

Position: Specialist: Quality Assurance (Underwriting)

Department: IL NB & Underwriting

Location Menlyn

Purpose:

To ensure new business & underwriting of policies is correct and accurate

Industries Insurance

Duties & Responsibilities

1. Report and monitor anomalies on Underwriting system.
   Quality check finalised underwritten cases.
   Network with relevant stakeholders, Service Providers etc.
   Reporting - anomalies found to Manager.
   Underwriting/ New Business administration - Monitor and report on all.
   Sampling Exclusion letters when there was a loading.
   Sampling HIV letters sent to doctors for HIV positive clients.
   Sampling limits of Liability cases.
   Sampling underwriting calls for Quality Checks and Customer Experience.
2. 
   Comply with audit risk requirements
   Assist Management with tasks needed for audit purposes
   Underwriting processing pre-audit
   Treat customers fairly throughout the administration process
3. 
   Quality Assurance
   Amend policies after finalization of High-Risk policies
   Facilitate necessary Process updates with underwriters
   Monthly exception report to Manager / Supervisor regarding anomalies found
   Ensure quality assurance done to all underwritten cases completed
   Render quality after care service to all clients on underwritten cases finalized (Performance - Client experience)
   Contact client for telephonic verification of the Underwritten experience
   Special projects as from time to time
   Identify gaps in current processes (recommend process improvements)
   Report on ongoing errors
   Identify root causes to facilitate improvement opportunities
   Set up performance benchmarks and ensure management information is aligned with benchmarks
   Coaching feedback with team

Requirements

• Formal Education:

• 3-year Diploma/ Degree recognised by the FSCA

• Insurance Legislation, RE5 Advantageous, Medical Underwriting

Experience:

5 years Medical Underwriting experience (Not Negotiable)
Microsoft office (Excel, word, PowerPoint, PowerBI)

Qualified HPCSA Registered Locum (GP) General Practitioner (Medical Doctor) sought for a recently opened GP practice in Pretoria East. This practice is located in a pharmacy and a skilled professional is required to grow the practice.

You will be expected to work either full days or if preferred half-day (mornings). Some weekend hours may apply.

In return, they offer a 40% - 50% (negotiable) split and a great support team.

Requirements

• Medical Degree
• Active HPCSA Registration
• Indemnity Insurance
• Good communication skills.

LetsLink Medical Recruitment Agency is assisting Private Hospital to employ a Unit Manager Theatre. The candidate must be registered with SANC, have at least 5 years relevant experience within the Operating Theatre Complex.

The successful candidate will be responsible for providing patient care, excellent to doctors, visitors, and support services, treating patients in accordance to nursing theories and process and hospital policy.

Skills required:

• Registered Nurse registered with the South African Nursing Council (SANC)
• Post basic qualification in Operation Room Nursing Science.
• At least 5 years’ experience working within the Operating Theatre Complex.
• Management or relevant business qualification will be advantageous.
• Thorough knowledge of general and specialised nursing theory and practice.

Salary: Market related

Location: Rustenburg

Closing date: 1 July 2022

Hospital client requires a skilled Registered Nurse

• Valid SANC licence
• Post-qualification work experience in general wards is essential
• Competent in the demonstration and assessment of relevant clinical procedures
• A good understanding and application of the nursing Scope of Practice and knowledge of patient care

Position: Sales Call Centre Agent

Location: Pretoria

Are you all about sales and writing your own cheque? Do you love travelling and sourcing leads at Company events? Do you have a passion for sales and changing people's lives? Raise your hand because WE'RE HIRING!!

This role plays an integral part in our team, as you are the first point of contact between our customers and the Company. Therefore, the first player in ensuring business profit growth.

Great, so who is a good fit?

A specialist who is an expert in communication and who displays a high degree of emotional intelligence. Responsible for the sourcing of new clients, as well as someone who has amazing organisation and timekeeping skills. You are self-motivated and self-driven with an unwavering ability to continuously learn and improve. You love working with people and your number one priority is making target.

You may be wondering, what does the duties include?

• Responsible for Sales;
• Conversion of 90% leads received;
• Reaching sales targets;
• Maintain product knowledge and relevant medical terminology at required standard;
• Professional representation of the Company at the customer interface;
• Handling customer queries and sales;
• Making follow up calls on prospective/existing customers;
• Ensuring customer contracts are completed accurately;
• Assist walk-in customers;
• Attend lab open days from time to time as needed;
• Resolve customer complaints by investigating problems, developing solutions, preparing reports and making recommendations to management;
• Implement sales and communication strategies;
• Implement strategies to meet and exceed set targets for:
• Prospect communication;
• Back log;
• Product sales.
• Distribution of approved educational and promotional material to customers;
• Emergency phone management;
• Administrative duties to be performed according to company policies:

• Daily:

• Submit customer notes on the electronic information system;
• Change customer status on the electronic information system;
• Submit performance dashboard to line manager weekly.

• Weekly:

• Submission of planning monthly.

• Monthly:

• Request referrals from existing customers.

Are there any specific skills and attributes required?

• Ability to build strong relationships and effectively identify problems as soon as they arise;
• Analysis of stumbling blocks to find positive solutions and ability to develop alternative solutions to common issues;
• Identify critical factors which will affect certain outcomes, as well as accurately evaluate options and establish priorities;
• Anticipate outcomes and identify consequences;
• Reason well in contexts requiring quantitative analysis;
• Open and honest communication regarding products;
• Actively listen to others to determine approach to be taken and the ability to persuade individuals so as to see reason;
• Successful creation and implementation of negotiation strategy;
• Ability to show empathy with excellent verbal and written communication skills;
• Ability to provide concise and relevant information and able to provide advice when needed;
• Ability to work alongside team to achieve a common goal;
• Be mutually accountable for all projects taken on;
• Ability to encourage differences and opinions;
• Ability to perform tasks in an organised manner;
• Set personal goals and ensure the achievement thereof;
• Plan efficiently and effectively to ensure deadlines are met;
• Ability to remain calm in a situation of conflict;
• Display patience when dealing with stakeholders and team;
• Highly disciplined with a willingness to learn;
• Confident with the ability to apply resilience;
• Cooperative and optimistic;
• High attention to detail.

Take a look at the what the requirements for this amazing job is

• Matric;
• 3 years' call centre experience;
• 2 years' sales experience
• Computer literate;
• Familiar with telephone and computer technology;
• Experience in effectively making sales and reaching targets;
• Customer service experience;
• Ability to handle pressure.

Together with our client in Pretoria East, we are recruiting for a Debtors Controller. The Ideal Candidate needs to have at least 2 years of relevant experience at a Medical Bureau and must hold a Diploma in Accounting/bookkeeping.

Duties:

• Generating Invoices and credits
• Debtors processing and collection
• Debt collection
• Liaison with clients
• Problem/query resolution
• Payment allocations
• Reporting

Requirements:

• Matric with Min 3 years’ experience (Medical background advantage)
• Diploma in accounting/bookkeeping or finance
• Extensive reconciliation and debts recovery experience
• Strong computer literacy
• Strong communication skills

Skills:

• Attention to detail
• Excellent customer service skills
• Excellent analytical skills
• Ability to work under pressure while always remaining calm, polite, professional
• Good communication skills and strong telephone etiquette

Working Hours:

• Monday to Friday: 08H00 – 16H00

Remuneration:

• R 12 000.00 – R 15 500.00 CTC per month
• Retirement Annuity

Only candidates who meet all the minimum requirements stipulated in the advert, will be considered.

If you meet the above requirements, please send your CV with supporting documents to recruit@medicalresources.co.za

REF: Debtors

Together with our client in Pretoria East, we are recruiting for a Bureau/Operations Manager. The Ideal Candidate needs to have at least 2 years of relevant experience at a Medical Bureau and must hold a 3-year Diploma in HR and/or finance.

Duties:

• Recruit, train, and supervise staff members.
• Manage the finances of the facility, such as patient fees and billing.
• Create work schedules.
• Prepare and monitor budgets and spending to ensure departments operate within funding limits.

Requirements:

• Grade 12, with a 3-year diploma or degree in HR and/or finance a must
• Must have a medical background
• Must have previous managerial experience min 5 years
• Own transport

Skills:

• Attention to detail
• Excellent customer service skills
• Excellent analytical skills
• Ability to work under pressure while always remaining calm, polite, professional
• Good communication skills and strong telephone etiquette

Working Hours:

• Monday to Friday: 08H00 – 16H00

Remuneration:

• Negotiable depending on experience

Only candidates who meet all the minimum requirements stipulated in the advert, will be considered.

If you meet the above requirements, please send your CV with supporting documents to recruit@medicalresources.co.za

REF: Operations Manager