advertisements
20.09.2024
Prospective Reviewer (Pre-Authorisation Call Centre)
Johannesburg
... The Prospective Reviewer role within the pre-authorisation call centre is responsible for authorising hospital authorisation requests, ensuring that requirements of clinical appropriateness, medical necessity, and clinical risk management are met. Key Activities: Authorising hospital ...
More »
Palesa Mbali Group
27.09.2024
Case Manager In Hospital
Johannesburg
... the cost to the Scheme(s). The case manager's responsibilities start from patient admission to discharge and they should have an understanding of hospital processes and the importance of making cost-effective decisions. To manage the Scheme risk by doing patient verification, assessing the ...
More »
Palesa Mbali Group
28.09.2024
Tax Advisory&Dispute Resolution
Johannesburg
... the Role: This role is for supporting the Director of the firm in rendering Tax Advisory and dispute resolution to Taxpayers. This role involves advising on tax implications of business activities or transactions from a perspective of applicable Tax Acts and structuring for various requirements ...
More »
Palesa Mbali Group
26.07.2024
Billings Auditor
Johannesburg
... the hospital’s billings process and ensure products and services received by patients align with the Rand Value of the final bill. The incumbent performs detailed and accurate audits of patient files, comparing the products and services received with the itemized bill in the context of the ...
More »
Clinix Health Group (Pty) Ltd
26.07.2024
Case Manager
Johannesburg
... effective management of patient hospitalisation. Follow the established and approved escalation processes in the event of a decline of payment by Funder. Ensure to remain in the group and facility targets of 3 days for WIP (work in progress) and DNYB (discharged not yet billed). ...
More »
Clinix Health Group (Pty) Ltd
advertisements