client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their 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)
client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their 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)
acceptance of new business transactions. Arranging medicals for clients where required and follow up on outstanding
acceptance of new business transactions. Arranging medicals for clients where required and follow up on outstanding
acceptance of new business transactions. Arranging medicals for clients where required and follow up on outstanding