of the Job: Review Medical Bills Key Performance Areas Audit & review medical bills. Analysis of department responsible for processing payments Auditing medical claims and assisting in technical aspects of bill utilization of services. Formal assessment of medical necessity and appropriateness of procedures the Provided training on new developments. Approve medical expenses in accordance with relevant DOA Authorization care based on functional ability. Analysis of medical data available e.g. Case Manager's Reports, Clinical
Responsibilities:
A well-established Medical Centre in Westering, Port Elizabeth is currently seeking seeking a skilled and dedicated Medical Practitioner (GP Doctor) to join their team. The thorough medical assessments and examinations
Enter our customers sites Medically Fit - able to pass stringent site medicals Able to work overtime Technically
is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. With many years Administration, and a minimum of two years in the Medical Scheme/Insurance industry.
information and various types of reports from medical practitioners Compare the reorts to our exisitng qualification; a medical degree preferable Min 2-3 years experience in Life Insurance Assessing Medical Background
level of care Monitor and action risk related to medical aid benefits and hospitalisation Ensure accurate Timeous, effective communication and follow-up with medical aids Review authorisation aspects approved and the case for billing Effective communication to medical schemes and adhering to the standards contained
information and various types of reports from medical practitioners Compare the reorts to our exisitng qualification; a medical degree preferable Min 2-3 years experience in Life Insurance Assessing Medical Background
Commission Company Car R3k Petrol Allowance 50% of Medical Aid Contribution Please note only candidates with Facebook, Instagram and LinkedIn) R 30 000 plus Medical Aid Company Car Petrol Allowance