Requirements: B Degree Nursing Qualification or equivalent NQF level 6 3 years patient care experience Intermediate CPT and ICD 10 training Microsoft Excel knowledge Nursing policies and procedures Advanced Computer Literacy The main purpose of this position: The incumbent will be responsible for the liaison between the patient and medical aids in order to secure payment for the hospital Duties & Responsibilities: Liaise with network of internal and external stakeholders to ensure that managed care of patients is maintained Monitor and control costs for Managed Care Organisation patients Confirm length of stay for all Managed Care Organisations patients Accompany Managed Care Organisation Case Managers on ward rounds in the hospital Assist with final authorization of Managed Care patient files Ensure correct coding for all Managed Care Organisation patients Supply all details regarding patient history to Clinical partners Ensure DNYB & In-Patients are managed within Group benchmarks
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