Medical Billing Auditor

4 months ago


Pietermaritzburg, South Africa Careforce Recruitment Full time

Our client, a hospital group who has provided health care services in Kwa-Zulu Natal based in Stanger are looking to recruit a Billing Auditor for their private hospital.

The main purpose of the job is to provide timeous, efficient, accurate auditing of patient files including medical charts and records for compliance with coding regulations and guidelines and to identify inaccuracies, compliance issues and inefficiencies.

MINIMUN QUALIFICATION AND EXPERIENCE
- Grade 12 (Matric)
- Professional Nurse or Enrolled Nurse
- Must be registered with SANC
- ICD/PCT Coding is a pre-requisite (Advanced clinical coder preferred)
- At least 5 years bill auditing experience in a hospital environment

THE SUCCESSFUL CANDIDATE WILL HAVE THE FOLLOWING RESPONSIBILITIES
- Patient Billing and Auditing
- Patient Case Management
- Doctor Liaison
- Data Management and Statistical Analysis
- Continuous Quality Improvement (CQI)

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED
- Understanding of the FFS Interpretation and Billing Document
- FFS and NHN Tariff structure understanding and interpretation
- Knowledge of NHN billing agreements and tariffs
- Knowledge or previous experience using the HIS
- Computer literate - must be accurate and pay attention to detail

On offer:
Ability to commute/relocate:

- Pietermaritzburg, KwaZulu-Natal: Reliably commute or planning to relocate before starting work (required)


  • Billing Clerk

    2 weeks ago


    Pietermaritzburg, KwaZulu-Natal, South Africa Pronel Personnel Full time

    Billing Administrative ClerkPronel Personnel is seeking a highly organized and detail-oriented Billing Administrative Clerk to join our team in Pietermaritzburg. As a key member of our team, you will be responsible for ensuring the smooth processing of medical claims and providing exceptional customer service to our clients.Key Responsibilities:Process and...

  • Billing Clerk

    4 months ago


    Pietermaritzburg, South Africa Pronel Personnel Full time

    **Education, Experience, and Licensing Requirements**: - Matric - University degree, or experience with medical records, claims or billing areas is an asset - Previous medical office experience of 2 years’ minimum - Driver’s License **Medical Biller Job Responsibilities**: - Liaise with case managers at hospitals - Liaise with medical aid service...

  • Billing Clerk

    2 weeks ago


    Pietermaritzburg, KwaZulu-Natal, South Africa Pronel Personnel Full time

    Billing Administrative Clerk Job DescriptionPronel Personnel is seeking a highly organized and detail-oriented Billing Administrative Clerk to join our team in Pietermaritzburg. As a key member of our team, you will be responsible for ensuring the smooth processing of medical claims and providing exceptional customer service to our clients.Key...

  • Billing Clerk

    4 weeks ago


    Pietermaritzburg, KwaZulu-Natal, South Africa Pronel Personnel Full time

    Job Title: Billing Admin ClerkPronel Personnel is seeking a highly organized and detail-oriented Billing Administrative Clerk to join our team in Pietermaritzburg. As a key member of our team, you will be responsible for ensuring the smooth processing of medical claims and providing exceptional customer service to our clients.Key Responsibilities:Process and...

  • Billing Admin Clerk

    1 month ago


    Pietermaritzburg, South Africa Adzuna ZA B C2 Full time

    Our client based in the Pietermaritzburg area is seeking an organized Billing Administrative Clerk. The ideal candidate should have relevant working experience with medical billing systems, medical billing codes, submission of medical claims, medical claim queries, and patient/client services. You will be responsible for confirmation of claims submitted and...

  • Billing Admin Clerk

    1 month ago


    Pietermaritzburg, South Africa Pronel Personnel Full time

    Our client based in the Pietermaritzburg area is seeking an organized Billing Administrative Clerk. The ideal candidate should have relevant working experience with medical billing systems, medical billing codes, submission of medical claims, medical claim queries, and patient/client services. You will be responsible for confirmation of claims submitted and...

  • Billing Admin Clerk

    1 month ago


    Pietermaritzburg, South Africa Pronel Personnel Full time

    Our client based in the Pietermaritzburg area is seeking an organized Billing Administrative Clerk. The ideal candidate should have relevant working experience with medical billing systems, medical billing codes, submission of medical claims, medical claim queries, and patient/client services. You will be responsible for confirmation of claims submitted and...

  • Medical Administrator

    4 months ago


    Pietermaritzburg, South Africa Pronel Personnel Full time

    Our client is looking for an experienced administrator familiar with medical billing procedures. Must have experience working for a medical practice. This role requires an organised, customer orientated individual to oversee the front office processes. **Duties include**: - Data capturing - Booking patient appointments - Billing - Creating invoices and...


  • Pietermaritzburg, South Africa Accountancy Placements Full time

    **Responsibilities**: - Oversee and manage the day-to-day operations of the medical office, ensuring its smooth functioning - Handle all aspects of medical billing including claims processing, insurance verification and reimbursement - Perform remittance processing, reconciliation, and credit control within the practice - Liaise with medical professionals,...


  • Pietermaritzburg, South Africa Office Beacon South Africa Full time

    Job Title: Medical Records Coordinator Location: Pietermaritzburg, KZN About Us: Office Beacon South Africa is a dynamic and rapidly growing organization dedicated to providing comprehensive support services to our clients in the legal and healthcare industries. We specialize in obtaining and managing medical records on behalf of our clients to support...

  • Assistant Accountant

    5 months ago


    Pietermaritzburg, South Africa Aloecrest Health Medical Hospital Full time

    The assistant accountant is responsible for providing support to the Regional Operations Managers and Financial Manager. It is expected of the assistant accountant to understand the business, flow of processes and ensure correct accounting entries are processed on time. Assisting with budgeting and internal as well as external audits will be his / her...

  • Clinical Case Manager

    2 weeks ago


    Pietermaritzburg, KwaZulu-Natal, South Africa Immploy Recruitment Agency CC Full time

    Job Title: Case ManagerWe are seeking a highly skilled and experienced Case Manager to join our team at Immploy Recruitment Agency CC. As a Case Manager, you will play a critical role in ensuring the efficient management of patient cases and the delivery of high-quality services to our internal and external customers.Key Responsibilities:Clinical Coding:...


  • Pietermaritzburg, KwaZulu-Natal, South Africa Immploy Full time

    Job Title: Case ManagerImmploy is seeking a highly skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the smooth operation of our hospital's case management processes.Key Responsibilities:Clinical Coding: You will be responsible for carrying out clinical coding in accordance with CPT and ICD requirements,...

  • Case Manager

    4 weeks ago


    Pietermaritzburg, South Africa Adzuna ZA B C2 Full time

    Key Responsibilities Carry out clinical coding in accordance with CPT and ICD requirements. Ensure that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures.Maintain patients clinical status in accordance with funder approval requirements for the duration of hospitalization; keeping patients...

  • Clinical Case Manager

    4 weeks ago


    Pietermaritzburg, KwaZulu-Natal, South Africa Immploy Full time

    {"title": "Case Manager", "content": "Key ResponsibilitiesAs a Case Manager at Immploy, you will be responsible for ensuring that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures. You will also be responsible for maintaining patients' clinical status in accordance with funder approval...

  • Case Manager

    4 weeks ago


    Pietermaritzburg, South Africa Immploy Full time

    Key Responsibilities Carry out clinical coding in accordance with CPT and ICD requirements. Ensure that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures.Maintain patients clinical status in accordance with funder approval requirements for the duration of hospitalization; keeping patients...

  • Case Manager

    4 weeks ago


    Pietermaritzburg, South Africa Immploy Full time

    Key Responsibilities Carry out clinical coding in accordance with CPT and ICD requirements. Ensure that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures. Maintain patients clinical status in accordance with funder approval requirements for the duration of hospitalization; keeping patients...

  • Case Manager

    4 weeks ago


    Pietermaritzburg, South Africa Immploy Recruitment Agency CC Full time

    A vacacy of a Case Manager (General) exists at a Private Hospital, reporting to the Finance Manager. The successful candidate will be responsible efficient patient case management and the delivery of an efficient and professional service to the internal and external customers.Key Responsibilities Carry out clinical coding in accordance with CPT and ICD...


  • Pietermaritzburg, KwaZulu-Natal, South Africa Immploy Recruitment Agency CC Full time

    Job Title: Clinical Case ManagerWe are seeking a highly skilled Clinical Case Manager to join our team at Immploy Recruitment Agency CC. The successful candidate will be responsible for efficient patient case management and the delivery of an excellent service to internal and external customers.Key Responsibilities:Carry out clinical coding in accordance...

  • Case Manager

    4 weeks ago


    Pietermaritzburg, KwaZulu-Natal, South Africa Immploy Recruitment Agency CC Full time

    Job Title: Case ManagerWe are seeking a highly skilled and experienced Case Manager to join our team at Immploy Recruitment Agency CC. As a Case Manager, you will play a critical role in ensuring the efficient management of patient cases and the delivery of high-quality services to our internal and external customers.Key Responsibilities:Clinical Coding: You...