Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join Bellville (Cape Town) or Centurion Responsibilities Internal Process: Apply scheme rules, clinical policies equipment/materials, application of billing rules and high-cost medication appropriateness. Customer Service: Investigate timeously. Build and maintain relationships with internal and external stakeholders. Reduce claim rejections
strong>Responsibilities
Internal Process:
Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join Bellville (Cape Town) or Centurion Responsibilities Internal Process: Apply scheme rules, clinical policies equipment/materials, application of billing rules and high-cost medication appropriateness. Customer Service: Investigate timeously. Build and maintain relationships with internal and external stakeholders. Reduce claim rejections
customers. Work closely with the Sales team and other internal departments to ensure customer satisfaction.< minimum of 2 to 3 years of sales experience in an Internal Account Manager position
intake summary · Grade 12 · Minimum 1 – 2 years Internal Sales experience, · Parts and tools knowledge
Clinical Practice
Our client operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager
Role Purpose
The purpose of this temporary role is to assist in the enhancement and management of cost-effective managed health care with the objective of promoting rational utilization of health care facilities and containing associated costs generated by these services for a
Good Clinical Practice Ensure compliance with all internal and external relevant policies Support the development organization's interest and own research goals Manage internal and external stakeholder expectations and communicate professional, authentic internal and external stakeholder relationships (internal relations at all levels training material and presentations and contribute to internal knowledge sharing in areas of expertise Conduct other information regarding the position. We offer Medical Aid Contribution, Provident Fund Contribution