Case Assessor - Medicare Private Hospital View All Careers

Permanent Apply Now

Business Unit: Medicare Private Hospital

Posted: 2024-10-09, Closing: 2024-10-23

Location: North West, Rustenburg

Description

A vacancy exists for a Case Assessor reporting to the Patient Administration Manager. The successful candidate will be responsible efficient patient case management and the delivery of an efficient and professional service to the internal and external customers.

Critical Outputs

Case Management and utilization review

Liaising with external funders and stakeholders

Statistical analysis and reporting of outcomes and trends

Risk Management of all risks encountered with medical and private paying patients

Requirements

SANC registration as an Enrolled Nurse is advantageous.

5 years’ experience of basic finance and Medical Aid administration processes and procedures (ICD10, CPT 4 Procedure Codes, Fixed Fees and Per Diems).

Private hospital patient administration experience.

Knowledge of hospital billing and tariffs

Knowledge of the Hospital Information System is advantageous.

Computer proficiency.

Competencies

Collaboration/ Relationship Building
Report writing
Analytical thinking
Problem-solving, analysis and judgement
Resilience
Engaging diversity
Verbal & written communication and presentation skills
Negotiation
Influencing
Strategic agility
Planning
Customer responsiveness
Project management
Organisational awareness
Excellence and quality orientation
Ethical behaviour
Technical and professional knowledge
Adaptability
Attention to detail
Change agent
Coaching
Conflict resolution
Innovation
Decision making
Organising

Departments

Admin

Medicare Private Hospital is an equal opportunity employer, external candidates will also be considered. Only shortlisted candidates will be contacted, should you not receive any communication after 2 weeks of closing date kindly consider your application as unsuccessful.

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