Case Coordinator

2 weeks 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

  • Hospital Case Manager — Care Coordination

    3 weeks ago

    Pretoria, South Africa Mediclinic Legae Full time

    A leading healthcare provider in Pretoria is seeking a healthcare coordinator to oversee case management processes. Responsibilities include managing patient stays, ensuring compliance with procedures, and communicating with funders. The ideal candidate will have a clinical qualification and at least 3 years of clinical experience, preferably in Theatre or...

  • Hospital Case Manager

    6 days ago

    Pretoria, South Africa Mediclinic Legae Full time

    MAIN PURPOSE OF JOB To coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation. KEY RESPONSIBILITY AREAS Minimise financial risk by effectively managing patient stay Ensure compliance to case...

  • Coordinator: Natural Resources and Energy

    2 weeks ago

    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,...

  • Vacancy - Residential Social Worker/coordinator

    1 week ago

    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...

  • National Individual Consultant

    7 days ago

    Pretoria, South Africa Unicef Full time

    UNICEF works in over countries and territories to save children's lives, defend their rights, and help them fulfill their potential, from early childhood through adolescence.At UNICEF, we are committed, passionate, and proud of what we do for as long as we are needed. Promoting the rights of every child is not just a job – it is a calling.UNICEF is a place...

  • HR Coordinator

    2 weeks ago

    Pretoria, South Africa Clinigen Full time

    We're looking for an experienced and enthusiastic HR Coordinator to join our busy global HR Operations team and provide great HR service to our employees, people managers and external stakeholders. You'll provide support primarily to our UK, Ireland and SA employee populations, with scope to grow into other regions over time. **Key Responsibilities**: -...

  • Dental Theatre Coordinator: Irene Day Hospital

    5 days ago

    Pretoria, South Africa Intercare Group South Africa Full time

    **ABOUT** Intercare Irene Day Hospital (Pty) Ltd situated in Centurion, Pretoria seeks to recruit a Dental Theatre Coordinator. The purpose of the position is to assist in surgical procedures by coordinating all activities relating to the dental theatre, including booking of theatre, authorisations, setting up the room before the operation and assisting...

  • Junior Recruitment

    6 days ago

    Pretoria, South Africa Employment Solution Management Full time

    Junior Recruitment & Placement Coordinator Employment Solution Management (ESM) is a social enterprise dedicated to creating meaningful employment opportunities for unemployed South African youth. ESM partners with private and public organisations to place and develop young people through training, TES/YES placements and permanent employment. We are looking...

  • Junior Recruitment

    4 days ago

    Pretoria, South Africa Employment Solution Management Full time

    About ESM Employment Solution Management (ESM) is a social enterprise focused on creating meaningful employment opportunities for the unemployed youth of South Africa. We partner with private and public organisations to place and develop young people through training, TES/YES placements and permanent employment. Junior Recruitment & Placement Coordinator We...

  • Spa / Admin Coordinator - Pretoria

    2 weeks ago

    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...