Relief Case Manager

2 weeks ago


Durban, South Africa JOINT MEDICAL HOLDINGS Full time

PURPOSE OF POSITION

Following the JMH policy with regards to clinical updating within turnaround times and service level agreements.

Accurate and complete ICD 10/ CCSA coding.

Month end deadlines.

Ensure accurate and complete billing.

Ensure adequate and appropriate information is communicated about the medical schemes.

To manage the internal DSO and ensure optimization of tools used.

Ensure complete rollout and compliance of Care Risk Management Procedures and Protocols.

Ensure effective resolution to rejections relating to case management. COMPETENCIES (The following will be advantageous)

MINIMUM REQUIREMENTS

(Educational Qualifications & Experience)

Registration with the SANC as a RN / EN.

Must be computer literate.

Must have Billing / Auditing experience essential.

Experience in a multidisciplinary hospital environment.

ICD 10 and CCSA coding experience is required.

Must have experience in liaising with medical aids, doctors and patients.

Own vehicle essential.

SKILLS

(Practical & Technical)

Must have excellent telephone skills.

Must possess excellent inter-personal skill

BEHAVIOURAL ATTRIBUTES

(Personality Characteristics)

Professionalism and initiative

Well-spoken and respectful

Must be able to adhere to all company rules and policies.

JMH VALUES

(Commitment)

We respect the dignity of an individual.

We are committed to giving our doctors top quality service.

We are committed to building an atmosphere of trust, and to train and develop our staff to their fullest potential.

We are committed to providing our shareholders with a fair rate of return on their investment.

We will act in a responsible manner towards our physical and social environment.

POPIA CLAUSE - HR ADVERTS

Your information is collected and processed in accordance with the Protection of Personal Information Act No 4 of 2013 (POPIA).

If unsuccessful, your personal information is securely destroyed and is not retained by the company.

Finder’s Fee Apply

Yours faithfully

Jenny Bux

Group HR Manager

Application Deadline: 2024/10/04



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