medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities Internal Process: Apply scheme rules, clinical policies and protocols to funding. Action allocated case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
success in life science molecular and cell biology research, in applied and pharma applications, in microscopy and solutions in preclinical imaging, clinical phenomics research, proteomics and multiomics, spatial and structural and condensate biology, as well as in clinical microbiology and molecular diagnostics. We are
analysis activities, and produce thought leadership research outputs; Assist in monitoring and analysing economic locally and internationally; Conduct relevant research and provide advice on economic and market risk studies, market reviews and other large-scale research outputs relating to market development; Gather patterns and trends; Write research proposals, reports and present research findings and observations; observations; Assist to coordinate, liaise, and engagement with and provide assistance to internal and external stakeholders
with technical issues and undertake the necessary research in order to provide ongoing feedback to the team planning Carry out technical calculations Undertake research both independently and with FP to identify suitable Advice Process General administration Prepare and coordinate review documentation including; financial planning
with technical issues and undertake the necessary research in order to provide ongoing feedback to the team planning Carry out technical calculations Undertake research both independently and with FP to identify suitable Advice Process General administration Prepare and coordinate review documentation including; financial planning
relationships. Coordinate sales and administrative activities between the Product Providers. Compile research, request
relationships. Coordinate sales and administrative activities between the Product Providers. Compile research, request
Oversee appointment scheduling processes to optimize clinic workflow and resource utilization Billing and Insurance Interdepartmental Collaboration: Collaborate with clinical, financial, and IT departments to streamline processes
Oversee appointment scheduling processes to optimize clinic workflow and resource utilization Billing and Insurance Interdepartmental Collaboration: Collaborate with clinical, financial, and IT departments to streamline processes
Private Clinic urgently needs an experienced Accountant with a Bcom accounting degree and 5 years related