to funders Provide appropriate information to Medical aids. Code all patients Assist with final authorisation management of all medical aid patients. Daily liaison and communication with Medical Schemes, nursing other medical staff. Must have experience working clinically. Knowledge of ICD 10 coding and medical aid aid tariffs, as well as medical aids authorisation processes EN and registration with SA Knowledge of high-cost high-cost medication authorisation procedures 3 years hosptial or medical faclility case management experience
are recruiting for a Medical Credit Controller to assist with Private and medical aid claims. Implement payments for specialist patient accounts with medical aids, with proficiency in at least four of the following (GP), Physician and Psychiatry. Follow up with medical aids to ensure prompt payment of outstanding claims Remittance Advices (RA) Resolve rejections from medical aids and upfront claim rejections Submit paper claims Provide timely responses to inquiries from both medical practices and patients Follow the handover process
Matric Credit Control/debt collection within a medical bureau, performing collections on specialist doctors' payments for specialist patient accounts with medical aids, with proficiency in at least four of the following (GP), Physician and Psychiatry Follow up with medical aids to ensure prompt payment of outstanding claims Remittance Advices (RA's) Resolve rejections from medical aids and upfront claim rejections Submit paper claims Provide timely responses to inquiries from both medical practices and patients Follow the handover process
level of care Monitor and action risk related to medical aid benefits and hospitalisation Ensure accurate effective communication and follow-up with medical aids Review authorisation aspects approved, mitigating
employment:o R 1 850 medical aid paymento Gap cover which walks hand in hand with the medical aid,o Group life
accurate picking /packing/labelling and checking of medication and be aware of common dosages as well as important changes in medical aid procedures and requirements for claims and dispensing Ensure all medications are checked Advise and assist patients at the dispensary, self-medication and front-shop Follow up with patients regarding manager, and follow up on appointments Explain medical aid costs to patients Provide information to individuals submission of claims to medical aids Correct errors on scripts rejected by medical aid Ensure authorisation
accurate picking /packing/labelling and checking of medication and be aware of common dosages as well as important changes in medical aid procedures and requirements for claims and dispensing Ensure all medications are checked Advise and assist patients at the dispensary, self-medication and front-shop Follow up with patients regarding manager, and follow up on appointments Explain medical aid costs to patients Provide information to individuals submission of claims to medical aids Correct errors on scripts rejected by medical aid Ensure authorisation
accurate picking /packing/labelling and checking of medication and be aware of common dosages as well as important changes in medical aid procedures and requirements for claims and dispensing Ensure all medications are checked Advise and assist patients at the dispensary, self-medication and front-shop Follow up with patients regarding manager, and follow up on appointments Explain medical aid costs to patients Provide information to individuals submission of claims to medical aids Correct errors on scripts rejected by medical aid Ensure authorisation
accurate picking /packing/labelling and checking of medication and be aware of common dosages as well as important changes in medical aid procedures and requirements for claims and dispensing Ensure all medications are checked Advise and assist patients at the dispensary, self-medication and front-shop Follow up with patients regarding manager, and follow up on appointments Explain medical aid costs to patients Provide information to individuals submission of claims to medical aids Correct errors on scripts rejected by medical aid Ensure authorisation
picking / packing / labelling and checking of medication and be aware of common dosages as well as important medicine supplied. Keep abreast of changes in medical aid procedures and requirements for claims and dispensing Advise and assist patients at the dispensary, self-medication counter and front-shop. Follow up with patients manager and follow up appointments. Explain all medical aid costs to patients. Follow through on promises submission of claims to medical aids. Correct errors on scripts rejected by medical aid. Ensure authorization