Pre-Authorization Consultant – Medical Scheme

About the role

Join Bestmed Medical Scheme as a Pre‑Authorization Consultant, providing fast, high‑quality managed healthcare support to members. You will play a key role in ensuring smooth healthcare journeys by handling pre‑authorisations, queries and hospital authorisations in a dynamic, fast‑paced environment.

Key responsibilities

• Assist members with pre‑authorisations and ensure timely processing.
• Handle and resolve member queries while maintaining excellent service standards.
• Review and manage hospital authorisations with accuracy and attention to detail.
• Maintain low turnaround times and high member satisfaction.
• Monitor clinical risk to support positive healthcare outcomes.
• Achieve service excellence targets, including call handling, case management and SLA delivery.
• Build strong relationships with members, providers and internal teams.
• Stay up‑to‑date with clinical knowledge through ongoing training.

Required profile

• Grade 12 qualification.
• Enrolled nursing qualification.
• Minimum 5 years’ experience as a nursing practitioner in ICU, trauma, theatre or other specialised wards.
• Active SANC membership.

Required skills

What we offer

• Meaningful work that impacts member health outcomes.
• Opportunities for professional growth and ongoing training.
• A supportive team culture where performance is recognised and rewarded.