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.
the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port 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
the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port 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
Plant Manager required for a reputable water treatment company based in Gqeberha
experience in managing staff will be an advantage Responsibilities:
knowledge of fresh produce varieties.
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OPERATIONAL MANAGEMENT
INVENTORY MANAGEMENT
PEOPLE MANAGEMENT
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