Clinical Auditor Hospital Claims

Role Overview:The Hospital Claims Clinical Auditor plays a vital role in maintaining the integrity of our healthcare services. This includes vetting hospital accounts under the guidance of the gazette, using clinical guidelines and protocols when necessary, and liaising with other departments to ensure smooth operations.

About the Role:The Clinical Claims Auditor for Hospitals position requires a Registered Nurse or Enrolled Nurse with a Nursing Diploma. A Post Graduate Nursing qualification is desirable, and previous experience in clinical auditing, particularly in a managed healthcare environment, is essential. The candidate should also possess excellent analytical and...

Job Description:The Clinical Auditor Hospital Claims role is a critical position at Middlesex College, responsible for ensuring that members receive proper and appropriate medical treatment while protecting their funds. The successful candidate will work closely with the team to ensure efficient and accurate processing of claims within agreed service levels.

Responsibilities:Vet hospital accounts to ensure compliance with billing guidelines and protect member funds.Utilize clinical guidelines and protocols to evaluate accounts for technical correctness.Liaise with the team and other departments to facilitate daily auditing and reconciliation of hospital accounts.The ideal candidate will possess strong clinical...

About This RoleThis Sister/Charge Nurse position offers a unique opportunity to work in a dynamic and supportive team environment, providing exceptional patient care and contributing to the delivery of high-quality patient outcomes.As a key member of our team, you will have the opportunity to develop your skills and expertise, working closely with colleagues...

About The Priory HospitalThe Priory Hospital is a leading provider of independent healthcare in the UK, with a nationwide network of hospitals and clinics.We are committed to delivering high-quality patient care and creating a diverse workforce that reflects the communities we serve.This role offers a unique opportunity for an experienced nurse to join our...

About UsThe Priory Hospital is a leading provider of independent healthcare in the UK, with a nationwide network of hospitals and clinics.We are committed to delivering high-quality patient care and creating a diverse workforce that reflects the communities we serve.This Sister/Charge Nurse position offers a unique opportunity to work in a dynamic and...

Company OverviewThe Priory Hospital, a leading provider of independent healthcare, is proud to be recognized as one of the UK's top 5 best big companies to work for. Our nationwide network of hospitals and clinics delivers high-quality care to patients, with a strong focus on customer service and satisfaction.

OverviewSister – Charge Nurse - OutpatientsThe Alexandra Hospital37.5 Hours & PermanentSalary Up to £44,500.00 per yearThe Alexandra Hospital in Cheadle is part of Circle Health Group, Britain's leading provider of independent healthcare with a nationwide network of hospitals & clinics, performing more complex surgery than any other private healthcare...

Job DescriptionThe Alexandra Hospital is part of Circle Health Group, Britain's leading provider of independent healthcare with a nationwide network of hospitals and clinics. We perform more complex surgery than any other private healthcare provider in the country.As a Patient Administrator – Outpatients, you will contribute to the delivery of high-quality...

OverviewRegistered Nurse - Private Walk in Centre (Bank)The Alexandra HospitalBank ShiftsSalary: Up to £23.50 per hourThe Alexandra Hospital in Cheadle is part of Circle Health Group, Britain's leading provider of independent healthcare with a nationwide network of hospitals & clinics, performing more complex surgery than any other private healthcare...

To ensure medical equipment in all CHG facilities are safe and effective and provide educational services to clinical staff as it relates to medical equipment and technology. **Minimum Qualifications and Experience**: - National Diploma/ B-Tech in Electrical Engineering: Clinical specialisation. - 5-7 years’ experience. - Hospital experience is...

Job SummaryWe are seeking a highly skilled and motivated Sister/Charge Nurse to join our team in the Outpatient Department.As a key member of our team, you will be responsible for providing exceptional patient care, supporting the development of our services, and contributing to the delivery of high-quality patient outcomes.ResponsibilitiesAssist the...

**Introduction** - As a Claims Quality Assessor in our Admed department your role is to quality assess all claims processed by the Admed claims assessors checking for accuracy, completeness and validity. **Disclaimer** - As an applicant, please verify the legitimacy of this job advert on our company career page. **Role Purpose** - As a Claims Quality...

HOSPITAL MANAGER | THOHOYANDOU, LIMPOPO This is a great opportunity for a skilled Hospital Manager in Thohoyandou, Limpopo. Our client requires an exceptionally skilled and experienced individual, with a proven track record to join their team. The Hospital Manager is responsible for overseeing the general administration of the hospital and ensuring...

OverviewRegistered Nursing AssociateThe Alexandra Hospital37.5 Hours & PermanentSalary Up to £27,316.76 per yearThe Alexandra Hospital in Cheadle is part of Circle Health Group, Britain's leading provider of independent healthcare with a nationwide network of hospitals & clinics, performing more complex surgery than any other private healthcare provider in...

To monitor, coordinate and administer risk activities across CHG facilities. The incumbent is responsible for identifying, assessing and recommending actions for actual and potential exposures to the Group with the aim of improving patient safety. **Minimum Requirements**: - Cur degree. - Certificate or Diploma in Risk Management. - 3-5 years’ experience...

OverviewPhysiotherapist - OutpatientsThe Alexandra HospitalBank ShiftsSalary Up to £25.00 per hourThe Alexandra Hospital in Cheadle is part of Circle Health Group, Britain's leading provider of independent healthcare with a nationwide network of hospitals & clinics, performing more complex surgery than any other private healthcare provider in the...

Clinical Phlebotomist - Diagnostic ServicesWe are seeking a skilled Clinical Phlebotomist to join our team at Sunninghill Hospital. This Relief Position is ideal for individuals with experience in phlebotomy and a passion for delivering high-quality patient care.Key Responsibilities:Collect blood and non-blood specimens from patients using various...

**Introduction** - To process medical expense shortfall (gap cover) claims in accordance with stipulated service levels and the terms and conditions of cover as defined in the policy wording. **Disclaimer** - As an applicant, please verify the legitimacy of this job advert on our company career page. **Role Purpose** - To process medical expense shortfall...