client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when
client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when
industry is currently looking to employ a Senior Claims Investigation Manager based in Bryanston (Johannesburg) and Internet navigation. Manage a high volume of claim reviews in a fast-paced environment. Ability to regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation throughout the claims investigation process. Maintain a strong professional knowledge of claims regulatory environments. Serve as a claims technical resource, providing guidance and support to desktop claim investigators
industry is currently looking to employ a Senior Claims Investigation Manager based in Bryanston (Johannesburg) and Internet navigation. Manage a high volume of claim reviews in a fast-paced environment. Ability to regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation throughout the claims investigation process. Maintain a strong professional knowledge of claims regulatory environments. Serve as a claims technical resource, providing guidance and support to desktop claim investigators
operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join
including access to online mental health platform, medical aid assistance, funeral plan, and paid time off. structure: Basic Care Allowance Advertising allowance Medical Aid (50/50) Commission Standby / Call Out Commissions
operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join
Plan Development. Incident Investigation. First Aid – Level 1. Working at Heights. Computer Literate Monitor all employee medical certificates of fitness and arrange renewals of medicals prior to the expiry with the HR Manager regarding any Injury on Duty Claims. Stock/ Equipment Management and Control Planning
Plan Development. Incident Investigation. First Aid – Level 1. Working at Heights. Computer Literate Monitor all employee medical certificates of fitness and arrange renewals of medicals prior to the expiry with the HR Manager regarding any Injury on Duty Claims. Stock/ Equipment Management and Control Planning
relevant institutions. Handle / complete insurance claim forms. Send flowers to family members on their birthdays