Case Coordinator

1 week ago


Pretoria, South Africa PRETORIA OOGINSTITUUT HOSPITALE BEDRYF Full time

**JOB PURPOSE**

The main purpose of this position is to coordinate the hospital pre-authorisations, confirmations, billing and credit control processes and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimize the financial risk for the organisation including its sub-clinics.

**REPORTING TO**

Patient Services Manager.

**KEY PERFORMANCE AREAS**
- Minimize financial risk by effectively managing patient stay.
- Conduct billing audits to ensure correct and timeous finalization of cases to facilitate reimbursements from funders of claims.
- Consistently and timeously communicate with Funders as contractually agreed through the relevant case management channels.
- Ensure compliance to case management procedures, contracts and legal aspects by utilizing available resources and systems.
- To ensure clinical coding standards are adhered to as per SA coding standards.
- To ensure credit control processes are followed for COID and Funders debtor’s book.

**COMPETENCIES**
- Excellent verbal and written communication skills.
- Collaborates with and supports colleagues and appreciates differences in order to achieve shared goals.
- Takes responsibility for achieving objectives.
- Analyses and integrates new information using a disciplined, consequential reasoning approach.
- Strives to identify and deliver on client’s needs, keeping client informed and focusing on client experience.
- Be able to work under pressure and be able to stick to deadlines by prioritising time and organising resources through co-ordination and feedback.
- Builds trusting relationships by consistently valuing and respecting others and fulfilling commitments.
- Must be computer literate.
- Knowledge of Clinical Coding or Coding certificates.

**MINIMUM QUALIFICATION(s)**
- Grade 12.
- Basic ICD 10 and CCSA.
- Knowledge of COID and Medical schemes Act.
- Enrolled Nursing Assistant (Qualification advantageous).

**MINIMUM EXPERIENCE**
- Previous clinical coding exposure in a hospital environment (Eye hospital experience advantageous)
- Be able to read, write and speak English and Afrikaans.

**Job Type**: Permanent

Application Deadline: 2024/09/10



  • Pretoria, South Africa AristoSourcing Inc. Full time

    AristoSourcing LLC is an Outsourcing company highly focused on the Digital Marketing Industry. Our company has been in the industry for more than 7 years. We hired and referred skilled and experienced Virtual Assistants to work and collaborate directly with our respective clients from different parts of the globe that offer 100% remote work for talented and...

  • Nurse Case Manager

    3 weeks ago


    Pretoria, South Africa Recruitforce Group Full time

    Position: Coordinator: Member Care (Pre-authorisations) Reporting to: Contact Centre Operational Manager Location: On-site at the Head Office, Pretoria _**You will be required to work shifts between 7h00 and 19h00 (Monday to Sunday)**_ **Qualifications**: - Registered/ Enrolled Nurse - Valid registration with SANC **Skills and Competencies Required**: -...

  • Coordinator: Health

    2 weeks ago


    Pretoria, South Africa Technology Innovation Agency Full time

    **Job Advert Summary**: **Job Purpose**: The unit's administrative coordination is effectively carried out to enable effective investment management processes, smooth budgeting processes, timeous knowledge transfer through the correct channels, all of which will ensure a comprehensive and continued support service to internal and external...


  • Pretoria, South Africa Technology Innovation Agency Full time

    **Job Advert Summary**: Technology Innovation Agency (TIA) is a talent driven, customer - centric and impact focused organisation. In our endeavour to support technology innovation with socio-economic outcomes; we seek to infuse the organisation with team players that find resonance as value creators, agile thinkers, progressive attitudes,...


  • Pretoria, Gauteng, South Africa Qatar Duty Free Full time

    Are you a detail-oriented and organized individual with excellent communication skills? Do you have experience working with financial data and systems? We are seeking a Commercial Project Coordinator to join our team.In this role, you will support the Project Manager in coordinating and preparing project reviews, cost reports, claim management, back-charges,...


  • Pretoria, Gauteng, South Africa H2R Africa Full time

    Are you a passionate Disease and Care Coordinator committed to making a real difference in patient care? If so, we have an exciting opportunity for you Our client, a leading managed care organisation accredited by the Council for Medical Schemes, is seeking a dedicated professional to join their dynamic team. Specialising in customised health risk and...


  • Pretoria, Gauteng, South Africa Bestmed Medical Scheme Full time

    Job RequirementsThis role requires a highly skilled Patient Advocacy Coordinator to join our team. As a key member of our organization, you will be responsible for advocating on behalf of our members, ensuring that they receive the best possible care and support.Your primary focus will be on managing the needs of our members, ensuring that they receive the...


  • Pretoria, Gauteng, South Africa Technology Innovation Agency Full time

    About the RoleThe Technology Innovation Agency is seeking an exceptional individual to fill the position of Strategic Coordinator for Health and Indigenous Knowledge Systems. This role will be responsible for coordinating the administrative aspects of the unit, ensuring effective investment management processes and timely knowledge transfer.The successful...


  • Pretoria, Gauteng, South Africa Macdonald Real Estate Group Full time

    About the RoleWe are seeking a highly organized and detail-oriented Administrative Support Professional to join our team. In this role, you will provide administrative support to our Litigation / Labor and Employment Practice Groups.Key ResponsibilitiesUtilize Task Delegation and Workflow Management software (BigHand) to receive, enter, and update...


  • Pretoria, South Africa Irene Homes Full time

    **VACANCY - RESIDENTIAL SOCIAL WORKER/COORDINATOR** **Irene Homes**isa non-profit organization of the Anglican Church of South Africa based in Centurion. We provide residential care and protective workshop services to persons with an intellectual disability. **POSITION**: Irene Homes seek to appoint a registered Social Worker, with prior experience in...


  • Pretoria, Gauteng, South Africa Seriti Resources Full time

    When applying, please submit a PDF version of your CV together with certified copies (certification within a 3-month period) of your ID, Drivers and qualifications . ER Coordinator, D1 Seriti, Head Office, Gauteng Internal & External Ref no: HO023/25GS Closing date: 20 March 2025 The role: The purpose of the role is to identify, manage, and coordinate key...


  • Pretoria, Gauteng, South Africa SiG Labour Corporate Full time

    KEY RESPONSIBILITIES:Document preparation: - Drafting and formatting legal documents such as pleadings, affidavits, briefs, memoranda, and discovery requests. - Proofreading documents for accuracy and compliance with legal formatting standards. -Compiling and organizing legal documents within case files.Case management: -...


  • Pretoria, Gauteng, South Africa Elakeviewcenter Full time

    We are looking for a highly skilled Medical Safety Coordinator to join our team at Elakeviewcenter.About the JobThis role is responsible for supporting the Drug Safety Manager in ensuring compliance with relevant laws, regulations, and guidelines governing drug safety. The successful candidate will be responsible for establishing and maintaining the drug...


  • Pretoria, South Africa SiG Labour Corporate Full time

    KEY RESPONSIBILITIES:Document preparation: - Drafting and formatting legal documents such as pleadings, affidavits, briefs, memoranda, and discovery requests. - Proofreading documents for accuracy and compliance with legal formatting standards. -Compiling and organizing legal documents within case files.Case management: -...


  • Pretoria, South Africa Generico Full time

    **SPA / ADMIN COORDINATOR - PRETORIA** **Beauty industry knowledge is a requirement.** - We are looking for a professional receptionist to co-ordinate the clinic reception & academy administration in an up-market Aesthetic Academy & Clinic._ **Salary**: R8000 Should you be a qualified therapist and do treatments as well you will earn the following...


  • Pretoria, South Africa Faurecia Full time

    **Main purpose of the role** The role of a Production Control and Logistics Coordinator is to plan and support FES deployment, drive the implementation of PC&L tools and methodologies within a plant and create and implement improvement ideas. **Essential responsibilities and duties** The main missions of the role are: - Ensure PC&L methods and tools...


  • Pretoria, South Africa Church World Service Full time

    **Position Title**: Senior Caseworker **Reports To**: Field Processing Supervisor **Division**: Immigration & Refugee Program+ (IRP+) **Department**: Programs, Field Processing **Job Location**: Pretoria, South Africa **Grade Level**: Grade 5, Officer, National **Introduction**: Church World Service (CWS) is a not-for-profit, faith-based organization...

  • Legal Counsel

    6 days ago


    Pretoria, South Africa People Mind Consulting Full time

    **Requirements** **(1) Relationship / Network Building (National & Provincial Level)**: - Attending the various national and provincial SAPS forums, meetings, and conferences in aid of: - presenting analytics in its entirety (petroleum, mining, financial etc.) - developing access to key decision makers. **(2)Relationship / Network Building (SAPS Station...


  • Pretoria, Gauteng, South Africa Department of Justice and Constitutional Development Full time

    Job title : Deputy Director: Interpreting ServicesJob Location : Gauteng, PretoriaDeadline : April 17, 2025Quick Recommended LinksJobs by Location Job by industries REQUIREMENTS :An appropriate qualification (NQF level 6)/ Degree as recognized by SAQA in Legal Interpreting & Translation/ Language Practice/ BA in Language/ Journalist or Linguistics; A...

  • Paralegal

    3 weeks ago


    Pretoria, South Africa Finding Personnel (Pty) Ltd Full time

    Our Client is a leading labour consulting firm dedicated to providing expert advice and support to businesses in navigating complex HR and industrial relations matters. They are seeking a detail-oriented and knowledgeable Paralegal to join their team and assist in legal research, document preparation, and case management. **Job Summary**: *** **Key...