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Clinical Administrator Lead

1 week ago

Pretoria, Gauteng, South Africa Clinigen Full time
Job Summary

We are seeking a highly skilled and experienced Clinical Administrator to join our team at Clinigen. As a key member of our operations team, you will be responsible for ensuring the smooth delivery of wound care services to our clients.

Key Responsibilities
  • Liaise with representatives daily regarding new patients, status of authorisations and stock requirements.
  • Request stock/units to be invoiced as soon as EMT receives request for NPWT - Invoice Clerk to invoice stock on SAGE.
  • Patient information: Name, physical address and contact numbers, must be communicated to person opening the accounts on SAGE.
  • Check/complete and submit motivation forms to the funders as soon as patient details are received.
  • Check validity of photographs and detail on motivation forms - contact PNP/Rep regarding missing information.
  • Missing information/photographs/documentation will be requested from the reps in writing - escalate to Operations Manager.
  • Daily follow-ups with the funders on authorisations that have been submitted - responsible for obtaining authorisation numbers/declines as soon as possible.
  • Authorisations/declines need to be communicated to the respective Rep & PNP.
  • Inventory sent out and declined medical aid must be communicated to warehouse employees for collection.
  • Keep track of stock versus authorisations & re-authorisations with no duplications.
RequirementsEducation and Experience

A minimum of 3 years' administrative experience within the wound care industry, specifically devices, is required for this role.

Skills and Qualifications
  • A strong understanding of ICD-10 coding, medical aid guidelines and prior authorisation processes is essential.
  • The ability to analyse wound photographs and accompanying information in order to assess and formulate extensive motivational reports is also required.
  • Sound financial understanding, knowledge of MS Office (Excel, Word, PowerPoint and Outlook) and attention to detail are also necessary skills.
  • Good interpersonal skills, discipline, assertiveness and the ability to work under pressure are also essential qualities for this role.