located in Johannesburg North is looking for a Clinical Auditor to join their team Minimum Education: nurse) Minimum Experience: 3 to 5 years (previous clinical auditing experience in a managed healthcare environment accounts under the guidance of the gazette Use clinical guidelines and protocols when vetting accounts Liaise with other members of the team and other departments Daily auditing of captured accounts Align hospital accounts payment Schedule the weekly roster for the clinical auditors Work with other healthcare personnel
retailer has numerous Store Admin and Finance Department Manager roles available in and around Gauteng
located in Johannesburg North is looking for a Clinical Auditor to join their team Minimum Education: nurse) Minimum Experience: 3 to 5 years (previous clinical auditing experience in a managed healthcare environment accounts under the guidance of the gazette Use clinical guidelines and protocols when vetting accounts Liaise with other members of the team and other departments Daily auditing of captured accounts Align hospital accounts payment Schedule the weekly roster for the clinical auditors Work with other healthcare personnel
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 allocated hospital claims for audit within department KPIs and CMS requirements for claims payment. Ensure case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of
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 with clients to address risk profiles. Provide clinical leadership and support. Analyze research data the relevant council. Proven underwriting and clinical risk management working experience within Managed
DR plan/elements to BCM reporting. Occupational Health and Safety - Monitor reports and actions. - Report
The main objective is to provide training to interns as well as other internal staff. The secondary objective is to develop career paths for the current intern programme as well as developing existing career paths of identified employees. Responsibilities including but not limited to: Present a fram
accounts. Reconciliations Daily reconciliation of all clinic receipts/banking (cash, yoco and medical aid receipts) reconciliations of pharmacy inventory for all clinics (inventory receipts, issues, and balances.) Weekly Weekly reconciliation of Sage Tills against e-health and the Sales ledger and reporting of variances. Weekly Revenue/Debtors Check all medical aid claims are loaded on Health Bridge and correctly submitted. Call Medical Aid were errors. Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals
accounts. Reconciliations Daily reconciliation of all clinic receipts/banking (cash, yoco and medical aid receipts) reconciliations of pharmacy inventory for all clinics (inventory receipts, issues, and balances.) Weekly Weekly reconciliation of Sage Tills against e-health and the Sales ledger and reporting of variances. Weekly Revenue/Debtors Check all medical aid claims are loaded on Health Bridge and correctly submitted. Call Medical Aid were errors. Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals
research and development to shape the future of public health and the life insurance industry. Join our client's analyzing, and responding to the evolving landscape of health trends and technologies. Research and Development: and internal studies to identify trends in public health with implications for mortality and morbidity outcomes outcomes. Craft strategies that align with public health changes, guiding product development, pricing, extensive research and data analysis on diverse public health topics, generating actionable insights to adapt