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Healthcare Clinical Review Specialist
1 week ago
In this position as a Healthcare Clinical Review Specialist at Headhunters, you will be responsible for ensuring that hospital claims are reviewed and processed accurately and efficiently.
Responsibilities- Survey claims for correct application of tariff and refer discrepancies to the relevant team.
- Assess prosthesis for PMB funding when benefits are exceeded or if there is no benefit.
You will also be responsible for providing accurate information and advice to stakeholders to ensure that they receive the appropriate service.
Requirements: A National Senior Certificate, Nursing Diploma or Degree, and registration with the South African Nursing Council (SANC) as a Registered Nurse.
