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
/>Minimum Experience: 3 to 5 years (previous clinical auditing experience in a managed healthcare environment under the guidance of the gazette
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
nursing experience.
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
Electronic Payments Specialist – for debt collections department.
AREA: Pretoria East<
senior management.
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
Postgraduate degree, an RE5, a minimum of 5 years in the Health or Employee Benefits industry, at least 5-7 years
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