to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based policies and protocols to funding. Action allocated hospital claims for audit within department KPIs and CMS clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical additional payments to the relevant team. Review hospital claims for clinical appropriateness, treatment appropriateness. CUSTOMER SERVICE Investigate hospital claim queries within the agreed service level
to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based policies and protocols to funding. Action allocated hospital claims for audit within department KPIs and CMS clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical additional payments to the relevant team. Review hospital claims for clinical appropriateness, treatment appropriateness. CUSTOMER SERVICE Investigate hospital claim queries within the agreed service level