the case management processes Interacts with medical schemes to ensure that authorisations are provided Knowledge of the rules and regulations regarding medical aid schemes Knowledge of clinical codes and coding policies
communication Effective communication to medical schemes by utilising the rules of engagement published care/ Case management. Previous hospital and medical scheme case management experience is beneficial
collections as well as experience in liasing with Medical Aid Schemes. Applicants will need to have: - Matric -
relevant departments within their respective medical aid scheme. Prepare and arrange cheque requisition for
relevant departments within their respective medical aid scheme. Prepare and arrange cheque requisition for
provident fund administrators, medical aid, insurance, funeral schemes etc. Administration of engagements
provident fund administrators, medical aid, insurance, funeral schemes etc. Administration of engagements