Case Management Admin – Healthcare Billing & Auth

Joint Medical Holdings Group; Durban; On-site; ZAR 240,000 - 320,000; Full time

Job summary

Joint Medical Holdings Group in Durban seeks a Case Administrator to provide administrative and financial support across the case management lifecycle from admission to discharge. You will handle medical-aid information, authorisations, updates and documentation to support billing and cash flow.

The role requires experience in healthcare administration, familiarity with authorisations and funding requirements, and strong MS Office skills.

Qualifications

• Grade 12/Matric with relevant healthcare admin exposure.
• Experience in private hospital, medical-aid or billing preferred.
• Knowledge of medical-aid processes and funding requirements.
• Basic hospital billing and account submission understanding.
• Computer literacy including MS Office; familiarity with HIS advantageous.

Responsibilities

• Obtain and verify medical-aid membership, benefits and pre-authorizations.
• Follow up outstanding authorizations, extensions and funding requirements.
• Assist with daily patient-in-progress reporting and ensure required documentation is obtained.
• Follow up outstanding clinical and administrative information for finalization of accounts.
• Ensure patient accounts are complete and identify delays or rejections.
• Liaise with Billing, Bill Audit and Case Management on requirements and queries.
• Monitor medical-aid claim rejections and queries; gather information for resolution.
• Monitor patients in hospital, including long-stay/high-value cases, with current funding info.
• Maintain accurate case-management records and timely data capture.
• Adhere to hospital policies, scheme requirements, confidentiality, and timelines.

Skills

Medical administration

Billing

Case management

Authorisations knowledge

Confidentiality practices

Education

Grade 12 / Matric

Tools

Microsoft Office

Hospital information systems

Job description

Joint Medical Holdings Group in Durban seeks a Case Administrator to provide administrative and financial support across the case management lifecycle from admission to discharge. You will handle medical-aid information, authorisations, updates and documentation to support billing and cash flow.

The role requires experience in healthcare administration, familiarity with authorisations and funding requirements, and strong MS Office skills.