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)
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)
prepare quotations. Preparing meeting files, FICA, applications, etc. Switches. Redemptions. Monitor income trading bank accounts. Please consider your application unsuccessful if you do not receive a response response withing 2 weeks of submitting your application. Monthly
prepare quotations. Preparing meeting files, FICA, applications, etc. Switches. Redemptions. Monitor income trading bank accounts. Please consider your application unsuccessful if you do not receive a response response withing 2 weeks of submitting your application. Monthly
reception as and when required. Please consider your application unsuccessful if you do not receive a response response withing 2 weeks of submitting your application. Monthly
recommendations to clients. Prepare proposal documents and application documents. Prepare statement/record of advice documentation as required. Preparing investment applications, transfers, and documents for client meetings Client relationship management. Handling of new application and quotations. Remain up-to-date on products two weeks of applying you may assume that your application was unsuccessful. Monthly
recommendations to clients. Prepare proposal documents and application documents. Prepare statement/record of advice documentation as required. Preparing investment applications, transfers, and documents for client meetings Client relationship management. Handling of new application and quotations. Remain up-to-date on products two weeks of applying you may assume that your application was unsuccessful. Monthly
litigation/ ad hoc tasks. Please consider your application unsuccessful should you not receive a response
litigation/ ad hoc tasks. Please consider your application unsuccessful should you not receive a response
level of service delivery. Please consider your application unsuccessful if you do not receive a response response within 2 weeks of submitting your application. Monthly