Manager - Medical Invoice Approval

**THE JOB AT A GLANCE** As a Medical Invoice Processor, you will be responsible for processing medical invoices effectively and efficiently. **WHAT WILL YOU DO?** - Handling 200 invoices per day (includes capturing, duplicates & queries), Daily targets to be achieved daily. - Accurate assessment of invoices prior to capturing according to set criteria and...

**THE JOB AT A GLANCE** As the Manager - Medical Operations, you will be responsible for all aspects of Managed Care within the Medical Operations section. **WHAT WILL YOU DO?** - Managed care of hospital admissions and downstream cost - Oversee and support team leaders pension medical case auditors and case management - Analysis of hospital medical spend...

_**MEDICAL RECEPTIONIST, PARKTOWN, JOHANNESBURG**_ Our client, a Plastic and Reconstructive Surgeon based in Parktown, Johannesburg, is seeking to recruit a well presented and experienced medical receptionist. **Requirements**: - Greet and assist patients in a courteous and kind manner, whether in person or telephonically. - Schedule appointments and...

**THE JOB AT A GLANCE** As the Pensions Medical Case Assessor (PMCA), you will be responsible for effectively and efficiently rendering medical support to internal and external stakeholders. **WHAT WILL YOU DO?** - Monitoring of Hospital Admissions weekly and liaison with Case Managers. - Give feedback to Case Managers and other Colleagues of Pensioners...

**Main purpose of the job**: - Project manage and support the drug development and regulatory processes workstream of the market shaping output **Location**: - **Parktown - Johannesburg** **Key performance areas**: - Project manage and support the drug development and regulatory processes workstream - Together with the senior technical specialist, work...

**Main purpose of the job**: - Project manage and support the drug development and regulatory processes workstream of the market shaping output **Location**: - **Parktown - Johannesburg** **Key performance areas**: - Project manage and support the drug development and regulatory processes workstream - Together with the senior technical specialist, work...

**MEDICAL PRACTICE / OPERATIONS MANAGER**: Our client, an Orthopaedic Surgeon based in Parktown, Johannesburg is seeking to recruit a Medical Practice / Operations Manager to attend to the managerial and clinical functions of the practice. - **Responsibilities**:_ - Plan and co-ordinate activities of the Practice e.g.; clinics, theatre bookings, bed...

**THE JOB AT A GLANCE** As a Life Claims Assessor, you will be reporting to the Partner Claims Specialist - Life, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance. **WHAT WILL YOU DO?** **Claims Adjudication**: - Verify claims captured for...

Our client, an Orthopaedic Surgeon based in Parktown, Johannesburg is seeking to recruit an experienced medical receptionist with strong typing skills for very busy practice. **Requirements**: - Diary and appointment management and rescheduling of appointments - Answering incoming calls - Ensure the smooth and effective functioning of the practice - Ensure...

**Main purpose of the job**: - Lead the drug development and regulatory processes workstream for the market-shaping output **Location**: - **Parktown - Johannesburg** **Key performance areas**: - Lead the drug development & regulatory processes workstream - Work closely with CHAI and lead product development, regulatory, and quality assurance...

**Purpose** **Qualifications and Experience Required**: NQF Level 5 Higher Certificates and Advanced National (vocational) Certificate in business administration or commerce Additional insurance related qualifications or training will be advantageous. 2 - 3 years clerical, scanning and indexing experience required **Key Areas of...

**THE JOB AT A GLANCE** **WHAT WILL YOU DO?** **Claims Administration**: - Acknowledgement of claims upfront - Communicate and articulate the claims process and requirements to the claimants and brokers, as pre-defined processes - Refer/channel claims to relevant departments - Gather information, send follow-ups and reminders on outstanding claims...

**THE JOB AT A GLANCE** As the Senior Claims Assessor, you will be reporting to the Team Leader: Senior Claims Assessor. You will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance. **WHAT WILL YOU DO?** **Adjudicate on claims**: - Adjudicate claims...

Main purpose of the job: To analyse, interpret and produce participant results from human specimens and to implement and maintain the quality management system for the laboratory Location: Key performance areas: Analyse, interpret, and produce participant results Receive labelled and captured samples from Data Capturer Check and verify that details on...

The incumbent will be tasked with shaping thought leadership, intelligence gathering, training, building and leading the disability management and underwriting teams. The person must be mature, agile, a team player with a strong medical background, good commercial and leadership skills. He/she will need to understand the effect of economic, health, social...

**Main purpose of the job**: - To manage and lead the clinical trial team and activities and to provide health care to patients participating in clinical trials according to study protocols **Location**: - **Parktown - Johannesburg** **Key performance areas**: - Clinical Trial Management_ - Compile source notes and recruitment tools - Undertake...

**Job Advert Summary**: A member of the Operational Finance team reporting to the Manager Operational Finance. This role will be responsible for processing of different claim, medical and refunds and management reporting including day to day reviewing and processing. A higher level of technical understanding is involved for this role. Duties include...

**THE JOB AT A GLANCE** As the Debtors Clerk, you will be responsible for ensuring that all administration is complete, maintained and resolved in order to facilitate a seamless collection of the outstanding premium. **WHAT WILL YOU DO?** **Debtors Account Maintenance** - Review accounts, track debit orders and verify payments - Keep the cash flow...

**Main purpose of the job**: - Provides comprehensive patient-centered care, aligning the same to approved treatment protocols and guidelines while ensuring that the scope of practice for Clinical Associates does not deviate from **Location**: - **Ezintsha, Parktown - Johannesburg** **Key performance areas**: - Verify participant vital signs as...

**JOB DESCRIPTION** **A client in the Pharmaceuticals industry is looking for an enthusiastic and experienced Receptionist.** **Job Requirements** - Switchboard - Responsible for accurate recording of messages and forwarding messages electronically to the relevant persons - Strong communication skills with the ability to discuss any issues with a wide...