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
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