Clinical Risk Management Specialist Industry: Insurance Location: Cape Town Type: Hybrid (3 In/ 2 Out) seeks to employ a Clinically qualified individual to assist within their Clinical Risk Management team of the role is to assess the risk profiles of medical practitioners within the company's broad underwriting Provide clinical leadership and support. Analyze research data. Requirements : Registered medical practitioner the relevant council. Proven underwriting and clinical risk management working experience within Managed
the daily clinic manager audit trails, including all adjustments.
• Reconciliation Clinic Manager
Benefits: Employer Medical Aid: Discovery Medical Aid.A cash value of R1498.00 towards the medical aid contribution Benefits: Employer Medical Aid: Discovery Medical Aid.A cash value of R1498.00 towards the medical aid contribution
are recruiting for a Medical Credit Controller to assist with Private and medical aid claims. Implement payments for specialist patient accounts with medical aids, with proficiency in at least four of the (GP), Physician and Psychiatry. Follow up with medical aids to ensure prompt payment of outstanding claims Remittance Advices (RA) Resolve rejections from medical aids and upfront claim rejections Submit paper Provide timely responses to inquiries from both medical practices and patients Follow the handover process
the daily Clinic Manager audit trails, including all Adjustments.
Review the daily Clinic Manager audit trails, including all Adjustments Reconciliation Clinic Manager to the
Company One of the largest private Medical Aid companies in SA. They have been established for 20 years appropriate rules and is paid correctly in line with the medical aid benefit and tariff structures. Responsibilities Minimum 2 years claims assessing experience in the Medical Aid industry Grade 12 R Highly Negotiable on Experience
Company One of the largest private Medical Aid companies in SA. They have been established for 20 years appropriate rules and is paid correctly in line with the medical aid benefit and tariff structures. Responsibilities Minimum 2 years claims assessing experience in the Medical Aid industry Grade 12 R Highly Negotiable on Experience
specializing in medical industry accounting. With a vision to become South Africa's preferred medical accounting personalized financial solutions for private and public medical practitioners and hospitals, aiming to optimize
insurance companies to ensure favorable terms for the medical center. This includes negotiating reimbursement determine which ones would be most beneficial for the medical center and its patients. This involves evaluating serve as the main point of contact between the medical center and insurance companies, addressing any billing and reimbursement process to ensure that the medical center receives proper payment for the services Educating Staff : You may be involved in educating medical center staff on insurance-related matters, such