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)
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
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
Bachelor's degree in Computer Science, Information Technology, or a related field. Master's degree in a relevant IT projects. In-depth knowledge of {relevant technologies, tools, or frameworks}, including but not limited Servers, Email architecture, and all available technologies. Responsibilities, but not limited to: 1. Team Expertise: Stay updated on industry trends, emerging technologies, and best practices. Provide technical guidance
years of sales experience , preferably in the technology or POS industry. Own vehicle required for travel software. Familiarity with POS systems and retail technology is a plus. Flexibility to travel to client sites
years of sales experience , preferably in the technology or POS industry. Own vehicle required for travel software. Familiarity with POS systems and retail technology is a plus. Flexibility to travel to client sites
familiar with the use of different utility and end technologies used such as, homogenizes, injection molding
Diploma in Electronic/ Electrical/ Information Technology (NQF 6). BTech: Engineering: Electrical (Light
selection and procurement of training materials, technologies, and external training services. Please consider