/>Minimum Experience: 3 to 5 years (previous clinical auditing experience in a managed healthcare environment under the guidance of the gazette
private medical hospital sector, who is seeking a Clinical Auditor to join their team based in Gatesville Apply clinical policies and protocols to funding. Ensure accurate notes are made for all clinical audits managers for resolution. Act as clinical support to non-clinical hospital clinical auditors in terms of hospital hospital tariff applications and clinical guidance. Ensure correct application of tariff and discrepancies to the relevant team. Review hospital dues for clinical appropriateness, treatment authorized, over-usage
Kindly apply if you meet the relevant requirements. Should you not hear anything in two weeks consider your application as unsuccessful.
private medical hospital sector, who is seeking a Clinical Auditor to join their team based in Gatesville Apply clinical policies and protocols to funding. Ensure accurate notes are made for all clinical audits managers for resolution. Act as clinical support to non-clinical hospital clinical auditors in terms of hospital hospital tariff applications and clinical guidance. Ensure correct application of tariff and discrepancies to the relevant team. Review hospital dues for clinical appropriateness, treatment authorized, over-usage
Clinical Risk Management Specialist Industry: Insurance Location: Cape Town Type: Hybrid (3 In/ 2 Out) seeks to employ a Clinically qualified individual to assist within their Clinical Risk Management team with clients to address risk profiles. Provide clinical leadership and support. Analyze research data the relevant council. Proven underwriting and clinical risk management working experience within Managed
nursing experience.
medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities Internal Process: Apply scheme rules, clinical policies and protocols to funding. Action allocated case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
"fun" right? Well, I am calling all Fund Specialists as we are recruiting a role at an insurer that
has your interests as number 1.
The Fund Specialist will be responsible for driving sales and brand
Reference: NFP014213-AND-1 Are you ready to make a significant impact in the insurance industry? We are seeking a talented and motivated Actuarial Analyst to join our Insurance Client's team in Johannesburg. If you are driven by challenge and innovation, this is the perfect opportunity for you Key R
Some of the duties and responsibilities include: