Team Leader: Pre Auth

Roodepoort, Gauteng R900000 - R1200000 Y AfroCentric Group

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Job Description

Position Purpose

Manage the Hospital Event Management Team to provide excellent service in all interactions with stakeholders. Assist the team to resolve complex issues and complaints, build strong relationships, and understand customer needs and emotions. Ensure exceptional customer experiences and meeting customer care needs, while continuously learning about the customer journey to deliver outstanding service moments.

Experience

2 - 3 years experience in operations within the Medical Aid Industry

2 years experience in management within the Medical Aid Industry advantageous

2 years Leadership Experience

1 year experience in Quality Assurance, Workforce Planning and Recruitment

2 years Managed Healthcare Operations experience

Qualifications

Clinical Bachelors Degree. Registered Pharmacist/Nurse or other healthcare professional. Relevant and active registration with regulatory body

Compliance and Risk Management:

Defined legal, statutory and regulatory compliance is appropriately implemented and maintained at the required standards for the team

Implemented team operational risk and governance structures, measures and frameworks are monitored and necessary action is taken to address issues, when necessary

Financial Management:

Manage expenses and costs and identify cost saving opportunities to support the department in achieving its financial goals and targets

Operating Model:

Implement team operational plans and manage that the defined delivery objectives are met through supporting, and being supported by other teams within and linked to the department / project

Identify opportunities to improve the team's core operational internal processes and internal supply chain

Resolve team operational conflicts

Ensure delivery targets/objectives are met and motivate the team to operate in a mutually supportive manner to achieve successful delivery

Operational Implementation of Strategy:

Plan and implement daily, weekly and/or quarterly operational changes within the team to respond to important external influences

Ensure relevant sections of the business plan are implemented in a manner that supports operational quality and meets the defined departmental priorities

Communicate the relevant sections of the team operational plan to facilitate buy-in of the employees

Ensure implementation of workplans in a way that maintains operational best practice and leads to continuous delivery improvement

Operational Leadership:

Manage the operational performance of the team as per HR frameworks and policies to ensure delivery to agreed standards and objectives

Provide appropriate staff development, coaching and mentoring and retain skilled and engaged employees within the team and Medscheme

Support transformation through valuing diversity within the team and department

Behave in alignment with the Medscheme values

Stakeholder Management:

Ensure appropriate, active and informative relationships with customers and relevant stakeholders are successfully maintained

Address customer or stakeholder complaints in alignment with the policies and procedures and ensuring customer / stakeholder buy-in

Knowledge:

Recruitment and Selection principles and application

Performance Management practice

Knowledge and application of relevant legislation

Knowledge and application of processes and procedures

Business systems knowledge

Turnaround Time

The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.

Our Commitment to Transformation

AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create

Should you not receive feedback within a month of applying, please consider your application unsuccessful

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Experienced Financial Advisor - Health Solutions (Centurion)

Johannesburg, Gauteng The Recruitment Council

Posted 2 days ago

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Experienced Financial Advisor - Health Solutions (Centurion)

Are you an experienced Financial Advisor passionate about empowering clients to achieve financial wellness through comprehensive health solutions? Do you thrive on building lasting relationships and providing expert advice on medical aid and complementary health products? If so, we want you!

We're dedicated to delivering sustainable, integrated health solutions. We're seeking talented and passionate individuals who share our values of putting clients first and treating customers fairly .

What You'll Do:

As a Health Financial Advisor in our franchise environment, you'll be responsible for:

  • Acquiring, retaining, and growing a diverse client base across middle-income, affluent, professional, and business segments.

  • Meeting with clients face-to-face to understand their financial goals, needs, and risk tolerance, providing expert advice through sound financial planning.

  • Strategically advising on various financial products and services , including Medical Aid, Health Insurance, Health Saver, and Gap Cover Insurance.

  • Generating new business and providing exceptional after-sales service to ensure client retention and increase market share.

  • Complying with all legislative regulations and adhering to compliance requirements.

What You'll Bring:
  • Matric/equivalent qualification.

  • FAIS requirements based on DOFA date.

  • FSCA-approved qualification .

  • Relevant regulatory examinations (RE5) if you're already in the financial services industry.

  • 2 years' experience as a Financial Advisor , specifically with a focus on healthcare sales .

  • A large and solid network of business, social, and close contacts.

  • Excellent communication (written and verbal), presentation, and interpersonal skills.

  • Strong administration, organization, and data analysis abilities.

  • A personable, presentable, and articulate demeanor.

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Technologist | Clinpath | 4 Month Contract | Relief | Sunninghill

Sunninghill, Gauteng R90000 - R120000 Y Ampath Laboratories

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Job Description

As a Technologist in Clinical Pathology, you are a key contributor to the delivery of accurate and timely diagnostic results that support critical healthcare decisions. This role is rooted in precision, consistency, and a commitment to quality. You will be part of a high-performance culture where your technical expertise and attention to detail help drive operational excellence. At Ampath, your work is not just about processing samples - it is about making a meaningful impact on patient care and being part of a team that values continuous improvement and professional growth.

Role Requirements

To be considered for this role, you must hold:

  • a National Diploma in Medical Technology (Clinical Pathology)
  • HPCSA registration as a Medical Technologist in Clinical Pathology
  • a valid South African Code B drivers license is essential.

These qualifications ensure that you are equipped with the foundational knowledge and professional accreditation to perform confidently and competently in a dynamic laboratory environment. We are looking for candidates with 1–2 years of experience in a pathology laboratory setting. This experience provides the practical grounding needed to navigate the complexities of clinical diagnostics.

Skills Requirements

Success in this role requires a blend of technical and interpersonal skills. You must be able to communicate fluently in English and Afrikaans, perform basic numerical calculations with accuracy, and use computer systems effectively to support laboratory operations. Your ability to collaborate, adapt, and contribute to a people-centric environment will be key to your success.

Role Impact

In this role, your contributions will directly support the smooth and efficient functioning of the Clinical Pathology laboratory. From processing routine and urgent samples to maintaining quality standards and supporting your colleagues through training and technical guidance, your work will help ensure that every result is delivered with accuracy and care. You will also play a role in strengthening client relationships, reinforcing Ampath's reputation for excellence. This is a position where your performance is recognised, your growth is supported, and your impact is felt across the healthcare journey.

Employment Equity and Diversity

At Ampath, we are committed to building a diverse and inclusive workforce that reflects the communities we serve. In line with our Employment Equity goals, we actively encourage applications from individuals across all backgrounds, especially those from underrepresented groups. We believe that diverse perspectives drive innovation and excellence in healthcare, and we are proud to create a space where everyone can thrive.

Hours of Work

45 hours per week

Work week

5 days

Location

Johannesburg - Sunninghill

Closing Date

11 September 2025 at 21:00

Apply now and take the next step in your career with Ampath, where purpose meets possibility.

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Patient Services Manager

Soweto, Gauteng R104000 - R130878 Y Clinix Health Group (Pty) Ltd

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Job summary:

To plan, organize and execute the revenue cycle management at a hospital facility. The incumbent manages a team of specialist that contribute to hospital finances through accurate billing and risk mitigation processes.

Minimum Qualifications and Experience:

  • Bachelor's Degree with Anatomy and Physiology.
  • Current SANC registration.
  • 3-5 years' experience in a similar role in private healthcare.
  • IDC and CPT coding.
  • Must be computer literate.

Minimum Job Requirements:

  • Deliver on the hospital's revenue cycle management operating plan.
  • Inspect work performed in the revenue cycle management team and ensure work is performed according to CHG quality standards.
  • Research, enable and consult on improvements and opportunities to harness technology.
  • Review existing processes and suggest innovative ideas to improve and streamline processes to drive efficiencies and minimise redundancy.
  • Ensure the development, alignment, mapping and implementation of end-to-end standard operating procedures / processes.
  • Ensure efficient management Reception, Admissions, Case Management and Billing Auditing departments.
  • Ensure revenue and collections targets are achieved by effectively the department.
  • Monitor and ensure WIP (Work-in-Progress) is within the agreed upon periods.
  • Ensure overall rejections are within the acceptable threshold.
  • Review, audit and sign off on all consignments to ensure accuracy of billing and minimisation capital loss.
  • Conduct daily EOC (End of Case) reconciliation to ensure billings are done within the allotted timeframes per funder standards.
  • Ensure case managers follow proper coding protocols to reduce rejection rates.
  • Ensure case managers maintain an up-to-date register of length of stay and update the funders regularly to ensure all services rendered are paid for.
  • Develop and implement admissions process and protocols and ensure the adherence of all admissions staff to maintain standards.
  • Ensure that all files requested and utilised are in accordance with CHG standards.
  • Review services (together with relevant stakeholders) on SAP to ensure optimisation of billings of services.
  • Analyse data trends relating to rejections and short payments.
  • Lead and drive the accurate and business billing process to ensure Patient Services metric targets are achieved.
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