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)
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)
replacement stock to match the original order Assist Clinical Specialists, External Inventory Controllers, Clients
financial statement process. Assist with: technical research - IFRS matters; IFRS 9 & 16 workings; external
including projects Any other administrative or research-related tasks assigned. A graduate in the area
including projects Any other administrative or research-related tasks assigned. A graduate in the area
Provide assistance and support to company personnel. Research, track and restore accounting or documentation
Formulating strategic and long-term business plans. Researching and reporting on factors influencing business
and communicate effectively with team members 6. Research and stay up-to-date on accounting regulations