the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when
the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when
administration, follow-up and resolution of all IOD claims. Absenteeism reports. Responsible for visitors' information is confidential. Claims and withdrawals of NBC Provident Fund claims. Opening of mail/post. Report