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.
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
attend to the receipt of the claim and all administration of Short-Term Claims allocated. To provide service excellence in daily tasks when assisting clients with claims, providing correct information and to serve as finalization of the Claim. Schedule and prioritize the workload to close the claim out within the required years’ experience working with short-term Insurance claims – non negotiable
Main purpose of the job:
Location:
information regarding the position. We offer Medical Aid Contribution, Provident Fund Contribution
/>Benefits
Competitive Salary
Medical Aid
Pension scheme
Cell Phone Allowance
Market-related. Medical aid. Pension/Provident Fund. 13th cheque (Management discretion) plus Medical aid and provident
Market-related. Medical aid. Pension/Provident Fund. 13th cheque (Management discretion) plus Medical aid and provident
including access to online mental health platform, medical aid assistance, funeral plan, and paid time off. Allowance