Mediclinic is Currently Opening Job Vacancies as Confirmations Clerk – Mediclinic - Apply Now
Mediclinic Hoogland | Bethlehem | South Africa
Number of positions - 1
Recruiter name - Tebello Sekhoto
Reference number - 57459
Workplace Type - On-site
Permanent
- Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile
MAIN PURPOSE OF JOB
- To minimise financial risk by ensuring authorisation and re-authorisation of all cases through effective communication between relevant parties.
KEY RESPONSIBILITY AREAS
- Identify and refer risk cases to minimise financial risks
- Ensure compliance to the confirmation procedure contracts and legal aspects by utilising available resources and systems
- Capture data and communicate to all parties
- Adhere to clinical coding standards as per Level 2 coding guideline
- Obtain authorisation and re-authorisation for all identified patients to ensure fully paid claims
A career opportunity:
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About You:
Qualifications, Skills and Experience:
- ESSENTIAL EDUCATION - Grade 12 or equivalent
- DESIRED EDUCATION - None
REQUIRED EXPERIENCE
- Essential minimum experience - None
DESIRED EXPERIENCE - Experience in Clinical Environment
REQUIRED JOB SKILLS AND KNOWLEDGE
- Patient Administration policies and procedures (e.g. Patient Confidentiality; Visitation of external case managers; etc.)
- Patient admin programmes on the AS400 system
- Identify possible financial risks (e.g. no authorisation; insufficient LOS or LOC; etc.)
- Rules and regulations regarding funder contracts
- B2B EMS (electronic message system: check status of authorisations and use for trouble,shooting)
- Computer literate (Microsoft Office)
- Clinical coding (Level 2 coding)
- Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.)
- Daily workflow; managing deviances; coding; and case management processes
- Funder Contracts; Medical aid requirements/narrations
- All applicants will be considered, with the understanding that preference will be given in accordance with the Employment Equity Plan of Mediclinic Southern Africa, as well as internal applicants/employees that meet the minimum requirements.
- Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile
Important
Don't miss this opportunity to start your career at Confirmations Clerk – Mediclinic (Bethlehem)!
Interested and qualified candidates can apply through the following application link.