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Team Leader - Medical Production

Team Leader - Medical Production
Company:

Rand Mutual Assurance


Details of the offer

THE JOB AT A GLANCE
To assist the Manager in managing the end-to-end process of adjudication of Medical Invoices and to engage in service related queries from internal and external stakeholders and providing relevant business information and solutions.
WHAT WILL YOU DO?

Full compliance always on team's deliverables
Ensure that daily statistical reports are accurate
Accurate and timeous monthly reporting
Apply knowledge and correct application of different tariff schedules
Approve and authorize HCP Demographics
Ensure high standard of client relationship – by means of attitude and knowledge (Performance measured in terms of Company Survey)
The 360 end-to-end management of the medical benefits procedures in accordance with agreed upon standards and timelines
Continuous assessment and analysis of the processes and procedures with the goal of continuously improving efficiency and effectiveness
Managing the process of all production queries from other departments as well as the contact centre
Managing the team in alignment with the RMA way (values, policy and procedures)
Adhoc responsibilities within agreed timelines and quality standards.

WHAT WILL YOU GET IN RETURN?
We offer great opportunities for personal and professional development in a stable company that is 130 years strong. The role comes with a competitive salary package and various benefits. Furthermore, you will be part of a dedicated group of colleagues who value teamwork and collaboration.
Turnaround time
The shortlisting process will only start once the advert due date has been reached. The time taken to complete this process will depend on how far you progress within the recruitment process and the availability of our managers. Kindly note that should you not receive a response within 21 days, please consider your application unsuccessful.
Our Commitment to transformation:
In accordance with the employment equity plan of Rand Mutual Assurance and its employment equity goals and targets, preference may be given, but is not limited, to candidates from under-represented designated groups.


WHAT YOU'LL BRING TO THE TABLE?

Relevant Business Management Diploma or equivalent
Nursing degree (Advantageous)
Leadership certificate
2 to 4 years' experience in relevant field including supervision experience
Medical scheme / aid background advantageous
IT proficiency
Knowledge of SAMA, COID, RPL, ICD10 coding and Nappi Codes
Effective decision making and problem-solving skills
Effective interpersonal skills
Adherence to confidentiality
Customer centricity.


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Job Function:

Requirements

Team Leader - Medical Production
Company:

Rand Mutual Assurance


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