Confirmations Clerk

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