in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in and high-cost medication appropriateness. CUSTOMER SERVICE Investigate hospital claim queries within
in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in and high-cost medication appropriateness. CUSTOMER SERVICE Investigate hospital claim queries within
Role Purpose
The purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus on reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a period of 6 months only.
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role requires experience in a medical imaging business/practice with claims processing responsibilities responsibilities within a medical scheme. This role, ensures the accuracy of radiology-related claims, and collaborates healthcare providers to the medical scheme. Verify the accuracy of claims documentation, including radiological
role requires experience in a medical imaging business/practice with claims processing responsibilities responsibilities within a medical scheme. This role, ensures the accuracy of radiology-related claims, and collaborates healthcare providers to the medical scheme. Verify the accuracy of claims documentation, including radiological
year doing medical insurance and claims
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administrative & reception support for bookings, medical aid claims and other matters.
and manage inquiries. Minimum Requirements: Medical Aid claims processing experience Administration experience practitioners to gather relevant medical history and account details crucial for claim assessment. Perform various practitioners to gather relevant medical history and account details crucial for claim assessment. Perform various needed to support departmental operations. Medical Aid claims processing experience Administration experience