Consultant Medical Management - 3 Year Fixed Term Contract 2

Job title : Consultant Medical Management - 3 year Fixed Term Contract 2 Job Location : Eastern Cape, East London Deadline : January 16, 2025 Quick Recommended Links Jobs by Location Job by industries A well-established financial services business is seeking to appoint a Consultant Medical Management on a 3 year Fixed Term Contract Purpose of the job: The Consultant: Medical Management is responsible to implement the medical management activities, medical exception handling and providing administration support in claims processing.
  Qualifications and Experience: Bachelor's Degree/Advanced Diploma in Health Sciences /Medical related qualification.
Registration with HPCSA/SANCA Relevant 3 years' experience in a Medical related environment Conduct medical assessment and compile injury assessment reports.
Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay, and quality of care.
Escalation of complex cases for multi-disciplinary review and adjudication.
Participate in the consultations process on the implementation of medical claims processes.
Technical Competencies: Claims management process/ processes and systems.
Medical product management Medical bill reviewing Medical case management Complex problem identification, solving and decision making Customer value proposition Strong clinical analytical capabilities Knowledge of motor vehicle accident legislation Planning, Organising and Coordinating.
Personal Mastery.
Judgement and Decision Making.
Ethics and Values.
Client Service Orientation.
Medical / Healthcare  jobs