Choose how often (in days) you want to receive a notification:Mediclinic Southern Africa Corporate Office | Pretoria | South AfricaClosing date: 07/01/2025Number of positions: 1Recruiter name: Fiona Simone AndersonReference number: 56597Workplace Type: PermanentMAIN PURPOSE OF JOBTo minimise financial risk by ensuring timeous and accurate authorisation and re-authorisation of all cases through effective communication between relevant parties.KEY RESPONSIBILITY AREASObtain authorisation and re-authorisation for all identified patients to ensure that claims are fully paid, or paid in accordance with the funder's benefit rules.Capture relevant data and communicate to the necessary parties.Obtain all required supporting documentation in order to support the authorisation process.Identify and refer high-risk cases to minimise financial risks.Adhere to clinical coding protocols.Ensure compliance with confirmation procedures and funder contracts by utilising available resources and systems.REQUIRED EDUCATIONESSENTIAL EDUCATION: Grade 12 or equivalentDESIRED EDUCATION: NoneREQUIRED EXPERIENCEESSENTIAL EXPERIENCE: 1-2 years in a practice management/patient administration environment.DESIRED EXPERIENCE: Experience as a Confirmations Clerk/Authorisations Clerk, Billings Clerk, or Receptionist in the healthcare industry.REQUIRED JOB SKILLS AND KNOWLEDGEUtilising relevant systems to obtain authorisations from Funders.Rules relating to Funder Contracts.Clinical coding (i.e., understanding and application of ICD10 rules).Management of PMB (prescribed minimum benefit) cases.Relevant aspects of applicable statutory acts (e.g., Medical Schemes Act).Patient Administration policies and procedures (e.g., Patient Confidentiality).Computer literate (Microsoft Office, practice management software).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.Become a part of our Talent Community and we will get in touch with you as soon as there is a relevant opening that fits your skills, interests, and experience.
#J-18808-Ljbffr