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)
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 broad underwriting framework. u: Review policy applications and renewals for underwriting risk. Identify 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
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 broad underwriting framework. u: Review policy applications and renewals for underwriting risk. Identify 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
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)
make breakthrough discoveries and develop new applications that improve the quality of human life. Bruker's and pharma applications, in microscopy and nanoanalysis, as well as in industrial applications. Today, worldwide systems and solutions in preclinical imaging, clinical phenomics research, proteomics and multiomics structural and condensate biology, as well as in clinical microbiology and molecular diagnostics. We are BSC Team Porto). Assist with Vendor onboarding application forms. Working with AP Team to ensure correct
Oversee appointment scheduling processes to optimize clinic workflow and resource utilization Billing and Insurance Interdepartmental Collaboration: Collaborate with clinical, financial, and IT departments to streamline processes
Oversee appointment scheduling processes to optimize clinic workflow and resource utilization Billing and Insurance Interdepartmental Collaboration: Collaborate with clinical, financial, and IT departments to streamline processes
Private Clinic urgently needs an experienced Accountant with a Bcom accounting degree and 5 years related
ENVIRONMENT: Our client operates a youth wellness clinic and an innovative learning space aimed at fostering analysis to support proposal drafting and budget applications. Financial Systems and Processes: Oversee the While we would really like to respond to every application, should you not be contacted for this position within 10 working days please consider your application unsuccessful see Duties & Responsibilities
transport will be an advantage. Occasional travel to clinics may be required. R28K p/m