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Medical Aid Coordinator Lead

1 week ago

Midrand, Gauteng, South Africa Cirrus Recruitment Full time
About the Role

Cirrus Recruitment is proud to offer a challenging opportunity for an experienced Internal Case Manager to join their dynamic team.

Key Responsibilities
  • Provide expert case management services to patients, ensuring timely and effective resolution of medical aid claims.
  • Develop and maintain relationships with medical professionals, medical schemes, and other stakeholders.
  • Code all patients accurately and efficiently, ensuring compliance with medical aid tariffs.
  • Authorise treatments and medications, ensuring seamless patient care.
Requirements
  • Proven experience in medical case management, preferably with a focus on medical aids.
  • Demonstrated expertise in ICD-10 coding, medical aid tariffs, and authorisation processes.
  • Strong analytical and problem-solving skills, with the ability to work under pressure.
  • Familiarity with high-cost medication authorisation procedures.
Benefits and Remuneration

R450k - R500k per annum, plus a comprehensive benefits package.