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Department Of Correctional Service Learnership For 2012 Jobs in Port Elizabeth, Eastern Cape

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  •  Accounting / Finance
  •  Contract

Medical Claims Clinical Auditor (ee)

Port Elizabeth  Monthly

  • Action allocated hospital claims for audit within department KPIs and CMS requirements for claims payment and drug utilization).
  • Survey claims for correct application of tariff and refer discrepancies to />Customer Service:
    • Investigate hospital claim queries within the agreed service level stakeholders to ensure that they receive the appropriate service.
    • Resolve claim queries accurately and timeously culture of work centric thinking, productivity, service delivery and quality management.


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