The Case Administrator is responsible for tracking of correspondences between Hospital and Medical Aid Schemes. Identify and monitor gaps, risk and assist with the implementation of correct actions agreed with management.<\/p>\n
KEY PERFORMANCE AREAS<\/p>\n
\tTrack discharge files, review and ensure length of stay, level of care and coding approving
\n\tReview and ensure High-cost items are approved by the fund.
\n\tCall Medical Aids on the In patients to verify Codes submitted are covered by the fund
\n\tCheck DSP listing\/Procedure Co-payment listing, alert case manager of the amount member needs to pay
\n\tAssist with Forwarding ICD Coding \/Theatre Time and Level of care to doctors’ rooms
\n\tFollow up on Outstanding DSM and Progress reports required by the Hospital Case Manager
\n\tFiles that are closed by the Hospital Case Manager \u2013 Refers to Escalation Matrix, assist with sending to the relevant email addresses.
\n\tAssist with Auditing Bulletin and Provides a summary to Patient Services Manager on Outstanding updates.<\/p>\n
COMPETENCIES (The following will be advantageous)<\/p>\n
MINIMUM REQUIREMENTS<\/p>\n
(Educational Qualifications & Experience)<\/p>\n
\tMust have a Grade 12 qualification
\n\tMust be computer literate
\n\tPreferably have Delta 9 experience
\n\tICD and CPT coding qualifications
\n\tBilling \/ Auditing experience will be advantageous.
\n\tExperience in a multidisciplinary hospital environment.
\n\tMust have experience in liaising with medical aids, doctors, and patients
\n\tMust have at Least 1 year customer services experience.
\n\tMust have least 1 year Hospital Admissions or Confirmations experience.<\/p>\n
go to method of application \u00bb<\/p>\n
Apply via company website ( N \/ A ) or<\/p>\n
<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","meta":{"_promoted":"","_job_location":"","_application":"","_company_name":"Joint Medical Holdings","_company_website":"http:\/\/N%20\/%20A","_company_tagline":"The Joint Medical Holdings Group was established almost 40 years ago in the 1980\u2019s, by a group of doctors who wanted to provide accessible healthcare to disadvantaged communities during the apartheid years. By overcoming obstacles such as the Group Areas Act and with no defined roadmap to follow, ... read morethe Group started its flagship facility, Isipingo Hospital, providing superior medical care to the local community. Today the Joint Medical Holdings Group includes a total of seven healthcare facilities operating across the KwaZulu \u2013 Natal province.","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":""},"job_listing_region":[11],"job-types":[12],"class_list":{"0":"post-35492","1":"job_listing","2":"type-job_listing","3":"status-publish","4":"hentry","5":"job_listing_region-gauteng","7":"job-type-full-time"},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job-listings\/35492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job-listings"}],"about":[{"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/types\/job_listing"}],"author":[{"embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/users\/2"}],"wp:attachment":[{"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/media?parent=35492"}],"wp:term":[{"taxonomy":"job_listing_region","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job_listing_region?post=35492"},{"taxonomy":"job_listing_type","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job-types?post=35492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}