Medical Authorisation Consultant Opportunity

Working Hours: Monday to Friday 9:00 AM 5:00 PM EST
Work Arrangement: Fully Remote

• Obtain and process medical aid authorisations for medical procedures hospital admissions diagnostic scans and treatments.
• Contact medical schemes and health insurance providers to verify benefits coverage and approval requirements.
• Submit the necessary clinical information and supporting documentation for authorisation requests.
• Follow up on pending delayed or outstanding authorisations to ensure timely processing.
• Accurately record authorisation numbers approval statuses reference numbers and relevant patient information.
• Communicate professionally with doctors hospitals patients medical practices and medical aid providers.
• Investigate and escalate declined complex or urgent authorisation requests when necessary.
• Maintain accurate patient records and update internal systems with the latest authorisation information.
• Ensure all requests are processed efficiently and within the required timeframes.
• Handle confidential patient and medical information responsibly and in accordance with applicable data protection requirements.
• Provide updates on outstanding requests and assist with resolving authorisation-related queries.