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
/>Minimum Experience: 3 to 5 years (previous clinical auditing experience in a managed healthcare environment under the guidance of the gazette
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
nursing experience.
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)
Clinical Risk Management Specialist Industry: Insurance Location: Cape Town Type: Hybrid (3 In/ 2 Out) seeks to employ a Clinically qualified individual to assist within their Clinical Risk Management team broad underwriting framework. u: Review policy applications and renewals for underwriting risk. Identify with clients to address risk profiles. Provide clinical leadership and support. Analyze research data the relevant council. Proven underwriting and clinical risk management working experience within Managed
Clinical Risk Management Specialist Industry: Insurance Location: Cape Town Type: Hybrid (3 In/ 2 Out) seeks to employ a Clinically qualified individual to assist within their Clinical Risk Management team broad underwriting framework. u: Review policy applications and renewals for underwriting risk. Identify with clients to address risk profiles. Provide clinical leadership and support. Analyze research data the relevant council. Proven underwriting and clinical risk management working experience within Managed
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)
make breakthrough discoveries and develop new applications that improve the quality of human life. Bruker's and pharma applications, in microscopy and nanoanalysis, as well as in industrial applications. Today, worldwide systems and solutions in preclinical imaging, clinical phenomics research, proteomics and multiomics structural and condensate biology, as well as in clinical microbiology and molecular diagnostics. We are Team Porto). Assist with Vendor onboarding application forms. Working with AP Team to ensure correct supplier
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