Preauthorization Administrator MMH260702-4

Role Purpose

To efficiently review, process, and manage dental pre‑authorisation requests within service level agreements (SLAs) and according to company policies and regulatory requirements. The primary focus is on accurately assessing and capturing pre‑authorisations from multiple platforms, ensuring compliance with clinical protocols and scheme rules, while supporting timely and appropriate member care.

Qualification

• Matric Certificate (Essential).
• Relevant tertiary qualification – Dental Assisting, healthcare administration or equivalent.

Experience

• Minimum 2 years’ experience in dental administration.
• Prior experience in medical aid benefits, billing, and claims processing.
• 1–3 years’ experience in Managed Care Operations or Pre‑Authorisation.
• Strong understanding of medical scheme protocols and benefit structures.

Duties and Responsibilities

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