to assist in the enhancement and management of cost-effective managed health care with the objective of
operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join their to assist in the enhancement and management of cost-effective managed health care with the objective of highly advantageous. Experience in a managed care / case management environment would be an advantage. queries and ensure they are resolved timeously. Manage queries until resolution and update the incident hospital visits where needed to build stakeholder relationships, proactively resolve queries and increase visibility
Finance qualification preferred, · Experience in the medical industry · Must have experience handling large
LOC/ LOS / item or drug approval queries to case managers for resolution.
closely with our claims assessors and build relationships with our Doctor's room. You will need to be You'll report to the Manager: Medical Requirements who is accountable for all medical appointments, chase chase of medical requirements and claims chase functions. Your duties will include but not limited to: • • Following up on medical requirements daily • Making outbound calls and chasing claims requirements multitask and manage multiple priorities • You have a strong sense of ownership • You can manage your own
Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join LOC/ LOS / item or drug approval queries to case managers for resolution. Act as clinical support to non-clinical equipment/materials, application of billing rules and high-cost medication appropriateness. CUSTOMER SERVICE Investigate accurately and timeously. Build and maintain relationships with internal and external stakeholders. Reduce for unnecessary costs. PEOPLE Build strong relationships through expressing positive expectations. Continuously
Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join LOC/ LOS / item or drug approval queries to case managers for resolution. Act as clinical support to non-clinical equipment/materials, application of billing rules and high-cost medication appropriateness. CUSTOMER SERVICE Investigate accurately and timeously. Build and maintain relationships with internal and external stakeholders. Reduce for unnecessary costs. PEOPLE Build strong relationships through expressing positive expectations. Continuously
closely with our claims assessors and build relationships with our Doctor's room. You will need to be You'll report to the Manager: Medical Requirements who is accountable for all medical appointments, chase chase of medical requirements and claims chase functions. Your duties will include but not limited to: • • Following up on medical requirements daily • Making outbound calls and chasing claims requirements multitask and manage multiple priorities • You have a strong sense of ownership • You can manage your own
Role Description:
Description Role Description: Management of all IT aspects and IT department comprising of 2 desktop ERP Application management (Both Motors & Mohair/Wool Manufacturing) Management of all I.T infrastructure Linux) Management of all connectivity between sites and providers – LAN/WAN/WLAN/Mobile Management of IT Microsoft, firmware updates, firewalls, backups) Management of Power to DC's, CCTV, access control, printers budgeting, planning, procurement & I.T project management