Clinical Claim Jobs in South Africa
- Western Cape (10)
- Gauteng (10)
- Eastern Cape (1)
- Afrocentric Group (4)
- Headhunters (2)
- Indigo Kulani Group (2)
- Universal Health (1)
- Last 7 days (1)
- Last 3 days (1)
Medical Claims Clinical Auditor (ee)
Port Elizabeth
Monthly scheme rules, clinical policies and protocols to funding.
share this job on whatsappMedical Claims Clinical Auditor (ee)
HeadhuntersSouth Africa
scheme rules, clinical policies and protocols to funding. Action allocated hospital claims for audit within resolution. Act as clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications applications and clinical guidance (e.g. procedures, devices and drug utilization). Survey claims for correct
Medical Claims Auditor Port Elizabeth
HeadhuntersSouth Africa
scheme rules, clinical policies and protocols to funding. Action allocated hospital claims for audit within resolution. Act as clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications applications and clinical guidance (e.g. procedures, devices and drug utilization). Survey claims for correct
City Of Johannesburg Metropolitan Municipality
Indigo Kulani GroupSouth Africa
allocations. Compile weekly report for each clinic on claim status. Weekly follow-up on medical aid outstanding
Senior Bookkeepper City Of Johannesburg Metropolitan Municipality
Indigo Kulani GroupSouth Africa
allocations. Compile weekly report for each clinic on claim status. Weekly follow-up on medical aid outstanding
Medical Advisor Sunninghill NEW
Universal HealthJohannesburg
cost-effectiveness. Provide clinical support and guidance to internal teams, including claims adjudicators, case cost-effectiveness. Provide clinical support and guidance to internal teams, including claims adjudicators, case
Medical Advisor The Boulevard
Afrocentric GroupSouth Africa
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests Open, review and resolve all clini
Medical Advisor Competitive
Afrocentric GroupSouth Africa
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests Open, review and resolve all clini
Medical Advisor Competitive
Afrocentric GroupCape Town Region
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests -Open, review and resolve all clin
Medical Advisor Cape Town
Afrocentric GroupCape Town Region
To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests -Open, review and resolve all clin
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