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Medical Claims Clinical Auditor (ee)

Port Elizabeth  Monthly

/>The purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with

  • Minimum of 2 years private hospital nursing experience.
  • Previous exposure protocols to funding.
  • Action allocated hospital claims for audit within department KPIs and CMS clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical payments to the relevant team.
  • Review hospital claims for clinical appropriateness, treatment


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  • Medical Claims Clinical Auditor (ee)

     HeadhuntersSouth Africa

    The purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with Office 365 proficiency. Minimum of 2 years' private hospital nursing experience. Previous exposure to clinical policies and protocols to funding. Action allocated hospital claims for audit within department KPIs and CMS clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical additional payments to the relevant team. Review hospital claims for clinical appropriateness, treatment


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    Clinical Auditor Port Elizabeth

     Hire Power RecruitmentSouth Africa

    to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based policies and protocols to funding. Action allocated hospital claims for audit within department KPIs and CMS clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical additional payments to the relevant team. Review hospital claims for clinical appropriateness, treatment appropriateness. CUSTOMER SERVICE Investigate hospital claim queries within the agreed service level


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    Medical Claims Auditor Port Elizabeth

     HeadhuntersSouth Africa

    The purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with Office 365 proficiency. Minimum of 2 years' private hospital nursing experience. Previous exposure to clinical policies and protocols to funding. Action allocated hospital claims for audit within department KPIs and CMS clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical additional payments to the relevant team. Review hospital claims for clinical appropriateness, treatment


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    Clinical Auditor

     Hire Power RecruitmentSouth Africa

    to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based policies and protocols to funding. Action allocated hospital claims for audit within department KPIs and CMS clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical additional payments to the relevant team. Review hospital claims for clinical appropriateness, treatment appropriateness. CUSTOMER SERVICE Investigate hospital claim queries within the agreed service level


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    Medical / Managed Care Case Manager (ee)

    Port Elizabeth  Monthly

    of 2 years clinical experience within a private hospital is essential.

  • The incumbent
  • Duties
    • Review of in-hospital patients for appropriateness of care, length of is rendered.
    • Discharge planning for in-hospital patients to ensure ongoing support and care post company's values daily.
    • Engage in hospital visits where needed to build stakeholder relationships


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    Medical / Managed Care Case Manager (ee)

     HeadhuntersSouth Africa

    of 2 years clinical experience within a private hospital is essential . The incumbent must be registered (Cape Town) or Centurion. Duties Review of in-hospital patients for appropriateness of care, length of of care is rendered. Discharge planning for in-hospital patients to ensure ongoing support and care post demonstrate the company's values daily. Engage in hospital visits where needed to build stakeholder relationships


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    Care Case Manager Port Elizabeth

     HeadhuntersSouth Africa

    of 2 years clinical experience within a private hospital is essential . The incumbent must be registered (Cape Town) or Centurion. Duties Review of in-hospital patients for appropriateness of care, length of of care is rendered. Discharge planning for in-hospital patients to ensure ongoing support and care post demonstrate the company's values daily. Engage in hospital visits where needed to build stakeholder relationships


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    Sales Consultants - On Trade (ftc) | Managed People Solutions | Garden Route

     Managed People SolutionsPort Elizabeth

    and Experience Grade 12 A Sales, marketing, hospitality management or Food and Beverage (F&B) management


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