nursing experience.
client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their 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)
Job Purpose:
Minimum Requirement:
Job Function Provide support to operational departments and other support departments, this includes assisting project to design, implement, stabilize, and continuously improve the logistic processes and system. Key performance areas Establish and implement operational KPI's. Apply statistical metho
a leader in the private medical hospital sector, who is seeking a Clinical Auditor to join their team 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
is seeking to employ an experienced Logistics Technologist . Experience with applying statistical methods
Requirements:
Description Our client is seeking to for a Technologist to work for their company. Job Function: Provide
a leader in the private medical hospital sector, who is seeking a Clinical Auditor to join their team 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
seeking an experienced ACCOUNTS CLERK (MEDICAL INDUSTRY) for a well-established concern experience in a similar position.
Knowledge of medical coding and billing procedure including icd-10 codes ensuring timely resolution.
Contacting medical aids to resolve unpaid accounts and initiate and accounts for potential bad debt or rejections from medical aids.
Debt collection.
Statement management