Officer: Bill Review

Purpose of the Job : Audit & review Medical Bills. Analysis of claimed items/services in correlation with available tariff structures Auditing medical claims and assisting in technical aspects of bill review. Assess and monitor claims to curb over servicing or abuse and fraudulent claims. Qualifications and Experience: Bachelors Degree or Advanced Diploma in nursing/ Allied Health Professions or related qualification Registration with the relevant Health professions council. Relevant 3 years experience in a medical field. Computer literacy. Ability to interpret the rules of the UPFS tariffs. Analytical skills. Organisational & Administrative skills Planning and Organising Decision making Negotiation skills. Please note that if you have not received a response within 14 days of submitting your application that your application was unsuccessful.