Medical Scheme jobs in Highveld, Gauteng
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- Momentum HealthCenturion, Gauteng
- At least 2 - 3 years’ experience, preferably in medical scheme industry.
- Sound understanding of clinical protocols and scheme rules.
- View all Momentum Health jobs - Centurion jobs
- Salary Search: Network Administrator salaries in Centurion, Gauteng
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- MedihelpPretoria, Gauteng 0181
- The core purpose of the role is to ensure that all applications for pre-authorisation justify clinical intervention and are finalized fairly, effectively and in…
- MedihelpBrooklyn, Gauteng
- Experience in medical schemes, healthcare funding, financial services or another regulated industry will be advantageous.
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- University of PretoriaPretoria, Gauteng
- UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
- A valid Code B driver's licence.
- University of PretoriaPretoria, Gauteng
- UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
- JUNIOR LEGAL ADVISOR (TWO POSTS).
- University of PretoriaPretoria, Gauteng
- UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
- A valid driver’s licence;
- Positec Germany GmbHKempton Park, Gauteng 1619
- This role is essential for delivering outstanding customer experiences by providing sales support, managing customer enquiries, and ensuring the efficient…
- PPS RecruitmentCenturion, Gauteng
- To analyze, reconcile, process information on a Claims account.
- To assess various type of claims submitted electronically / paper or received via fax or e-mail.
- University of PretoriaPretoria, Gauteng
- UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
- Grade 12 with 1 year of proven experience;
- PPS RecruitmentCenturion, Gauteng
- Create reports for oncology innovation and and data when requested by the scheme.
- The successful candidate will be responsible for managing hospital…
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- Positec Germany GmbHKempton Park, Gauteng 1619
- You will drive "sell-out" success through active demonstrations, store staff training, and exceptional after-sales support.
- Positec Germany GmbHKempton Park, Gauteng 1619
- You will drive "sell-out" success through active demonstrations, store staff training, and exceptional after-sales support.
- University of PretoriaPretoria, Gauteng
- UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
- Plan and schedule DESA staff meetings;
- Positec Germany GmbHKempton Park, Gauteng 1619
- You will drive "sell-out" success through active demonstrations, store staff training, and exceptional after-sales support.
- Positec Germany GmbHKempton Park, Gauteng 1619
- You will drive "sell-out" success through active demonstrations, store staff training, and exceptional after-sales support.
- ClinigenIrene, Gauteng
- Primary point of direct contact for communication with Clinigen’s customers i.e. hospitals, physicians and pharmacists.
- Awareness to escalate when required.
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Job Post Details
Network Administrator - job post
4.04.0 out of 5 stars
Centurion, Gauteng
Permanent
You must create an Indeed account before continuing to the company website to apply
Job details
Job type
- Permanent
Location
Centurion, Gauteng
Full job description
Introduction
Through our client-facing brands Momentum Group, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members.
Disclaimer
As an applicant, please verify the legitimacy of this job advert on our company career page.
Role Purpose
To provide an office based administrative support to providers and to the provider team in order to ensure an effective and efficient escalation process as well as corresponding system support.
Requirements
Qualification:
- Matric / Grade 12
Experience:
- At least 2 - 3 years’ experience, preferably in medical scheme industry.
- At least 2 - 3 years' Client services or call centre experience.
- Proficient in MS Office (Excel, Word, Outlook)
Duties & Responsibilities
- Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed
- Communicate verbally and in writing with dental providers and pharmacies to resolve enquiries and queries received in all platforms.
- Investigate and resolve claims queries.
- Handle incoming telephonic queries from call centre for network providers.
- Educating and supporting the healthcare providers on the dental and pharmacy network to remain compliant.
- Assist external stakeholders with network related enquiries.
- Support to ensure adequate network coverage for members.
- Building and maintaining positive relationships with dental and pharmacy providers.
Competencies
- Strong attention to detail and accuracy.
- Good organizational and time management skills.
- Ability to navigate and utilize multiple digital platforms.
- Clear and professional communication skills.
- Sound understanding of clinical protocols and scheme rules.
- Analytical mindset to identify trends and risks.
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