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)
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)
to address any stakeholder queries within the applicable Service Level Agreement/s. Participate in negotiating negotiating annual increases for clients. Ensure clinics comply with all legal requirements and internal reporting findings. Training of new employees on clinic protocols and procedures. Manage onboarding of of new client contracts. Ensure that clinics have necessary resources to deliver on expected services. various clinics as and when required. Coordination of staffing and leave management at various clinics. Recruiting
to address any stakeholder queries within the applicable Service Level Agreement/s. Participate in negotiating negotiating annual increases for clients. Ensure clinics comply with all legal requirements and internal reporting findings. Training of new employees on clinic protocols and procedures. Manage onboarding of of new client contracts. Ensure that clinics have necessary resources to deliver on expected services. various clinics as and when required. Coordination of staffing and leave management at various clinics. Recruiting
ordering. Regulating vehicles given out on loan – loan forms. Sorting out of speeding fines. Ordering of number two weeks of applying, please consider your application unsuccessful. Monthly
ordering. Regulating vehicles given out on loan – loan forms. Sorting out of speeding fines. Ordering of number two weeks of applying, please consider your application unsuccessful. Monthly
business register and submitting new business applications. Run due diligence process on a client. Book all outstanding matters. Submit all investment applications. Keep updated registers of all processes and Amendments and submitting of all investment applications. Liaise with Broker consultants, accountants compliance packs and all relevant business forms / applications and policies. Updating Directors on Compliance business. Management of compliance functions where applicable, and working with the external compliance. Keeping
business register and submitting new business applications. Run due diligence process on a client. Book all outstanding matters. Submit all investment applications. Keep updated registers of all processes and Amendments and submitting of all investment applications. Liaise with Broker consultants, accountants compliance packs and all relevant business forms / applications and policies. Updating Directors on Compliance business. Management of compliance functions where applicable, and working with the external compliance. Keeping
prepare quotations. Preparing meeting files, FICA, applications, etc. Switches. Redemptions. Monitor income trading bank accounts. Please consider your application unsuccessful if you do not receive a response response withing 2 weeks of submitting your application. Monthly
prepare quotations. Preparing meeting files, FICA, applications, etc. Switches. Redemptions. Monitor income trading bank accounts. Please consider your application unsuccessful if you do not receive a response response withing 2 weeks of submitting your application. Monthly