Medical Authorisations Clerk
13 hours ago
**Job Duties/Responsibilities will include**:
Obtain pre-authorisation and or confirm benefits for specialised CT and MRI examinations through the use of specialised software and/ or telephone calls to the various medical aid schemes.
Obtain correct ICD10 diagnosis codes and tariff codes for the purpose of accurate pre-authorisations. Escalate concerns and request additional information where required.
Ensure a high standard of documentation and capture of relevant information which is essential for branch staff to understand next steps.
Inform patients of co-payments or non-payment by medical aid timeously and prior to their examinations.
Assist branch staff with ad hoc and also last minute bookings.
Contact clinicians or their secretaries when motivation letters are required.
Update and validate patient examinations after confirming that all details and codes are correct. It is essential to follow the established validation checklist and products guideline when performing this task.
Responsible for following up and completing any outstanding validations for your designated branches
Establish whether PMB consideration may be advised on cases where authorisation was declined or shortfalls exist.
Maintain a high level of client focus when assisting patients, colleagues and clinicians.
Excellent interpersonal and communication skills.
Computer literacy.
Ability to work as part of a team.
Commitment to high quality standards.
Proven experience in multitasking
ICD10 diagnosis codes and medical terminology knowledge (preferred)
Proven experience working with multiple software packages - incl MS Office suite
Demonstrated call handling experience / skills
Excellent time management skills.
Matric certificate.
Computer literacy.
Medical terminology and/ or clinical coding certificate
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Sandton, South Africa Intercare Group South Africa Full time**ABOUT** Intercare Medfem Hospital (Pty) Ltd situated in Bryanston, Johannesburg seeks to recruit Admissions Clerk. The purpose of the position is to provide a professional customer services by communicating effectively with the various stakeholders involved in the patient admission process. An admissions clerk works at the front desk of a hospital and...
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