Confirmations Clerk

Website Mediclinic Legae

Job Description:

To minimise financial risk by ensuring authorisation and re-authorisation of all cases through effective communication between relevant parties.

Job Responsibilities:

  • Ensure compliance to the confirmation procedure contracts and legal aspects by utilising available resources and systems
  • Capture data and communicate to all parties
  • Obtain authorisation and re-authorisation for all identified patients to ensure fully paid claims
  • Adhere to clinical coding standards as per Level 2 coding guideline
  • Identify and refer risk cases to minimise financial risks

Job Requirements:

  • Rules and regulations regarding funder contracts
  • Clinical coding (Level 2 coding)
  • B2B EMS (electronic message system: check status of authorisations and use for trouble,shooting)
  • Funder Contracts; Medical aid requirements/narrations
  • Patient admin programmes on the AS400 system

Job Details:

Company: Mediclinic Legae

Vacancy Type: Full Time

Job Location: Welkom, Free State, South Africa

Application Deadline: N/A

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