Clinical Claims Auditor

CLINICAL AUDITORRequirements: Matric Enrolled Nursing qualification Computer literacy is essential ICU and Theatre experience advantageous Good communication and interpersonal skills Attention to detail and excellent organisational skillsKey Outputs: Check and ensure that stock has been recorded correctly Ensure that the correct stock and medication has been...

Position OverviewThe Claims Consultant assesses and manages claims effectively and efficiently, within the required SLA, ensuring optimal profitability of the business.Responsibilities Claims assessment and management of Individual Life claims across all benefit types, for the South African operation, as well as other benefits relevant to the business (e.g.,...

CLINIC ADMINISTRATOR - CAPE TOWNJob description:The Company Clinic currently has a vacancy for an experienced, attentive to detail and, efficient individual to join their team. The successful candidate should have sufficient understanding of all administrative procedures required in order to ensure the smooth operational running of the clinic.Duties and...

Shape Your Future with UsGeneral Re Corporation, a subsidiary of Berkshire Hathaway Inc., is a holding company for global reinsurance and related operations, with more than 2,000 employees worldwide. Its direct reinsurance companies conduct business as Gen Re.Gen Re delivers reinsurance solutions to the Life/Health and Property/Casualty insurance industries....

Job Title:Clinic AdministratorEmployment Type:Full TimeExperience:5 to 10 yearsSalary:NegotiableJob Published:30 August 2023Job Reference No:CLINIC ADMINISTRATOR - CAPE TOWNJob description:Duties and responsibilities include: Work closely with Medical staff to plan, coordinate and deliver quality healthcare services Scheduling and diary management of nursing...

Job Advert Summary:MHR is currently recruiting for a Clinical Risk Management Administrator position at a dynamic insurance company, specialising in professional medical indemnity cover.This is a Permanent full-time or part-time position (min 5-6 hours/day). You will be required to work remote & in-office, Cape Town Clinical qualification, minimum nursing or...

CLINICAL MANAGER - ORTHODONTIC PRACTICE, CAPE TOWN (SS)Our client, an orthodontist based in the Southern Suburbs of Cape Town, is seeking to recruit an experienced clinical manager.Requirements: Manage employees scheduling Ensure staff is on time, in uniforms, and ready for work before patients arrive Conduct morning meetings with prepared agenda and reviews...

Job Description:Dis-Chem is looking for a Qualified Clinic Nurse Practitioner's to join their team Based in KZN Region for Locum work. The key purpose of the position is to manage and operate a profitable, Primary Health Care Clinic that is situated in a pharmacy within the scope of practice of a registered nursing practitioner.(ads1)Job...

Who We Are?The Sanlam Retail Affluent business (SRA) aims to empower South Africans in the middle- and upper-income segments to achieve financial confidence and prosperity. With a deep understanding of clients and a focus on excellence in technology, client, and intermediary experiences, SRA offers financial solutions such as comprehensive financial...

Key Outputs:Assess, evaluate, and monitor the adequacy, effectiveness and efficiency of the organizations internal control systems.Identify improvements and enhancements to the internal control systems.Risk Management - Identify risk areas and implement controls and systems to address these.Investigate breaches of internal controls.Review policies and...

Clinical Support Specialist – Cape Town Life Unlimited. At Smith+Nephew, we design and manufacture technology that takes the limits off living. We believe that through innovation, development and supporting our customers and patients we can help others achieve a Life Unlimited Our products are in 100 countries globally, and supporting this takes a...

Group Head of Clinical Procurement and Product Development Indian Ocean IslandsSalary - Lucrative Package on offer + benefitsExciting international opportunity exist for a Group Head of Clinical Procurement and Product Development. The successful incumbent will be responsible for the clinical procurement and supply chain strategy and overseeing and managing...

IntroductionMomentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable,integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build andmaintain a culture of innovation,and create value through unique insights of how to achieve specific outcomes by using a...

Collinson is the global, privately-owned company dedicated to helping the world to travel with ease and confidence. The group offers a unique blend of industry and sector specialists who together provide market-leading airport experiences, loyalty and customer engagement, and insurance solutions for over 400 million consumers.Collinson is the operator of...

Kenvue is currently recruiting for:Senior Regulatory Affairs SpecialistThis position reports into the Senior Manager: Regulatory Affairs and is based in Cape Town, South Africa.Who We AreAt Kenvue, we realize the extraordinary power of everyday care. Built on over a century of heritage and rooted in science, we're the house of iconic brands - including...

Introduction Momentum Health, an entity of Momentum Metropolitan Holdings Limited, delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a...

Position Overview Overview**This is a Permeant role with part time hoursServes as a medical consultant to the South African markets for traditional life underwriting, living benefits and claims. Evaluates medical tests/information, assesses risks, and research medical procedures and information. Provides ongoing education and training for underwriters and...

A vacancy exists in our clinical division, for a dental assistant. The position is aimed at a strong analytical individual who is self-motivated, and task driven, taking full responsibility for dental enquiries.The successful applicant will be responsible for, but not limited to the following job functions:Key performance duties include the following:Request...

Introduction Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a...

Manage the Admin Department and processes with regards to non-releasesManage the Credit Control queriesManage Case Manager updates and escalations for Medical AidsEnsure accurate ICD 10 and CPT CodingAnalysis of Billing errorsManaging Fixed Fee Contracts with Medical AidsDaily and Monthly reporting to the Hospital Manager and Head Office regarding Admin...