Case Manager - Durban, South Africa - JOINT MEDICAL HOLDINGS
1 week ago
Description
KPA:
- Following the company policy with regards to clinical updating within turnaround times and service level agreements.
- Accurate and complete ICD 10/ CCSA coding.
- Month end deadlines.
- Ensure accurate and complete billing.
- Ensure adequate and appropriate information is communicated the medical schemes.
- To manage the internal DSO and ensure optimisation of tools used.
- Ensure complete rollout and compliance of Care Risk Management Procedures and Protocols.
- Ensure effective resolution to rejections relating to case management.
MINIMUM REQUIREMENTS:
- Registration with the SANC as a RN / EN.
- Must be computer literate.
- Must have Billing / Auditing experience essential.
- Experience in a multidisciplinary hospital environment.
- ICD 10and CCSA coding experience is required.
- Must have experience in liaising with medical aids, doctors and patients.
Job Types:
Full-time, Permanent
Ability to commute/relocate:
- Durban, KwaZulu-Natal: Reliably commute or planning to relocate before starting work (preferred)
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