services provided to patients. To assist with ensuring the Hospital Billing and Case Management departments are
medical records, verifying billing codes, and managing insurance claims to ensure compliance with regulatory
The Patient Administration Manager is responsible for overseeing all aspects of patient administration
a healthcare facility. This role involves managing patient registration, appointment scheduling, billing
regulatory standards, and ensuring high levels of patient satisfaction.
Duties will include but
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Reference: JHB000339-JG-1 Are you a Nursing Services Manager looking to relocate to Makhado, Limpopothen this emerging private hospital group who develop and manage their portfolio hospitals by serving rural and provinces is looking for an experienced Patient Administration Manager. This role will be responsible to ensure services provided to patients. To assist with ensuring the Hospital Billing and Case Management departments are medical records, verifying billing codes, and managing insurance claims to ensure compliance with regulatory
execute the revenue cycle management at a hospital facility The incumbent manages a team of specialist that revenue cycle management operating plan Inspect work performed in the revenue cycle management team and ensure processes Ensure efficient management Reception, Admissions, Case Management and Billing Auditing departments Ensure case managers follow proper coding protocols to reduce rejection rates Ensure case managers maintain accurate and business billing process to ensure Patient Services metric targets are achieved
Experience: 3 to 5 years (previous clinical auditing experience in a managed healthcare environment is
private medical hospital sector, who is seeking a Clinical Auditor to join their team based in Gatesville role is designed to support the improvement and management of cost-effective healthcare services. It involves unnecessary expenses while maintaining high standards of patient care and implementing strategies to contain and Attention to detail Time management Responsibilities: Internal Process Apply clinical policies and protocols funding. Ensure accurate notes are made for all clinical audits as well as claims. Ensure accurate completion
private medical hospital sector, who is seeking a Clinical Auditor to join their team based in Gatesville role is designed to support the improvement and management of cost-effective healthcare services. It involves unnecessary expenses while maintaining high standards of patient care and implementing strategies to contain and Attention to detail Time management Responsibilities: Internal Process Apply clinical policies and protocols funding. Ensure accurate notes are made for all clinical audits as well as claims. Ensure accurate completion
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 approval queries to case managers for resolution. Act as clinical support to non-clinical hospital claim auditors auditors in terms of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
Clinical Risk Management Specialist Industry: Insurance Location: Cape Town Type: Hybrid (3 In/ 2 Out) to employ a Clinically qualified individual to assist within their Clinical Risk Management team. The core with clients to address risk profiles. Provide clinical leadership and support. Analyze research data Proven underwriting and clinical risk management working experience within Managed Care or Insurance Industry