The main purpose of this position: The incumbent will be responsible for the liaison between the patient and medical aids in order to secure payment for the hospital Requirements: Registered with SANC – as a Registered Nurse / Enrolled Nurse 4 - 5 years’ working with finance and Medical Aid Administration Experience working within a Hospital will be an advantage Advanced Computer Literacy Clinical coding knowledge Knowledge of clinical terminology and anatomy, funder rules, co-payments and exclusions Duties & Responsibilities: Liaise network of internal and external stakeholders to ensure that managed care of patients is maintained Monitor and control costs for managed Care Organization patients Confirm length of stay for full Managed Care Organization patients Accompany managed Care Organization Case Managers on ward rounds in the hospital Assist with final authorisation of managed care patient files Ensure correct coding for all Managed Care Organization patients Supply all details regarding history to clinical partners Should you meet the above requirements, we urge you to please apply by forwarding your CV along with any supporting documents to tracyglass-house.co.za
Apply Now