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Clinical Auditor
Fusion Recruitment
North Johannesburg
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 accounts payment Schedule the weekly roster for the clinical auditors Work with other healthcare personnel personnel within the organisation Provide clinical expertise within the organisation where required Negotiation
share this job on whatsappClinical Auditor
Johannesburg
44 000 Monthly />Minimum Experience: 3 to 5 years (previous clinical auditing experience in a managed healthcare environment under the guidance of the gazette
Clinical Auditor Jhb - Northern Suburbs
Fusion RecruitmentNorth Johannesburg
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 accounts payment Schedule the weekly roster for the clinical auditors Work with other healthcare personnel personnel within the organisation Provide clinical expertise within the organisation where required Negotiation
Medical Claims Clinical Auditor (ee) NEW
HeadhuntersSouth Africa
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 Claims Clinical Auditor (ee) NEW
Port Elizabeth
Monthly nursing experience.
- Apply scheme rules, clinical policies and protocols to funding.
- Action 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) utilization).
- Survey claims for correct application of tariff and refer discrepancies to the relevant team
Medical Claims Auditor Port Elizabeth NEW
HeadhuntersSouth Africa
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)
City Of Johannesburg Metropolitan Municipality
Indigo Kulani GroupSouth Africa
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 and allocations. Compile weekly report for each clinic on claim status. Weekly follow-up on medical aid
Senior Bookkeepper City Of Johannesburg Metropolitan Municipality
Indigo Kulani GroupSouth Africa
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 and allocations. Compile weekly report for each clinic on claim status. Weekly follow-up on medical aid
Internal Auditor
Cape Town City Centre
understanding of the operating environment – research applicable laws, regulations, policies, procedures, contracts
Internal Auditor Cape Town
Glasshouse RecruitingCape Town Region
understanding of the operating environment – research applicable laws, regulations, policies, procedures, contracts Conduct audits to ensure compliance with all applicable laws and regulations Draft internal audit reports Review the daily Clinic Manager audit trails, including all Adjustments Reconciliation Clinic Manager to the
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