Officer: Bill Review
4 weeks ago
Purpose of the Job:
- Audit & review Medical Bills.
- Analysis of claimed items/services in correlation with available tariff structures
- Auditing medical claims and assisting in technical aspects of bill review.
- Assess and monitor claims to curb over servicing or abuse and fraudulent claims.
Qualifications and Experience:
- Bachelors Degree or Advanced Diploma in nursing/ Allied Health Professions or related qualification
- Registration with the relevant Health professions council.
- Relevant 3 years experience in a medical field.
- Computer literacy.
- Ability to interpret the rules of the UPFS tariffs.
- Analytical skills.
- Organisational & Administrative skills
- Planning and Organising
- Decision making
- Negotiation skills.
Please note that if you have not received a response within 14 days of submitting your application that your application was unsuccessful.
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