Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join Bellville (Cape Town) or Centurion Responsibilities Internal Process: Apply scheme rules, clinical policies equipment/materials, application of billing rules and high-cost medication appropriateness. Customer Service: Investigate timeously. Build and maintain relationships with internal and external stakeholders. Reduce claim rejections
Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join Bellville (Cape Town) or Centurion Responsibilities Internal Process: Apply scheme rules, clinical policies equipment/materials, application of billing rules and high-cost medication appropriateness. Customer Service: Investigate timeously. Build and maintain relationships with internal and external stakeholders. Reduce claim rejections
strong>Responsibilities
Internal Process:
intake summary · Grade 12 · Minimum 1 – 2 years Internal Sales experience, · Parts and tools knowledge
Clinical Practice
Our client operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager
Role Purpose
The purpose of this temporary role is to assist in the enhancement and management of cost-effective managed health care with the objective of promoting rational utilization of health care facilities and containing associated costs generated by these services for a
Qualifications and Experience:
qualification advantageous Proven track record in internal sales and technical ability Good telephone presence