have a minimum of 2 years of claims assessing experience in the Medical Aid industry. Assess all claims Minimum of 2 years' experience in claims assessing within the Medical Aid industry. Strong computer literacy
have a minimum of 2 years of claims assessing experience in the Medical Aid industry. Assess all claims Minimum of 2 years' experience in claims assessing within the Medical Aid industry. Strong computer literacy
Role Purpose
The purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus on reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a period of 6 months only.
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Reference: PE002450-RW-1 Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth - on a 6 month fixed term contract. Nursing Diploma or Degree essential EE candidate preference. An awesome career opportunity awaits R
Reference: PE002450-RW-1 Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth - on a 6 month fixed term contract. Nursing Diploma or Degree essential EE candidate preference. An awesome career opportunity awaits R
all medical aid claims are loaded on Health Bridge and correctly submitted. Call Medical Aid in respect claims and confirm status of claims. Follow-ups on payments due from Medical Aids. Follow-ups on rejected weekly report for each clinic on claim status. Weekly follow-up on medical aid outstanding payment for the
all medical aid claims are loaded on Health Bridge and correctly submitted. Call Medical Aid in respect claims and confirm status of claims. Follow-ups on payments due from Medical Aids. Follow-ups on rejected weekly report for each clinic on claim status. Weekly follow-up on medical aid outstanding payment for the
assessing or dealing with fraud, waste and abuse claims in a medical scheme .
Requirements:claims processing system (expected within 3 months). Understanding and knowledge of Medical Scheme
firm specializing in Litigation, Third Party Claims and Medical Negligence matters
-Filing of documents
firm specializing in Litigation, Third Party Claims and Medical Negligence matters -Filing of documents at