Case Management Admin: Medical Billing & Authorizations

joint-medical-holdings; Durban; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Joint Medical Holdings in Durban, South Africa, is seeking a Case Administrator to support the Case Management function from admission to discharge and account submission. You will manage medical-aid information, authorisations and billing documentation to improve cash flow and reduce rejections.

Requirements include Grade 12/Matric and experience in private hospital administration or billing. Proficiency in Microsoft Office and hospital information systems is advantageous.

Qualifications

• Knowledge of medical-aid processes and funding requirements.
• Experience with hospital patient administration and billing workflows.
• Basic computer skills and familiarity with hospital information systems.

Responsibilities

• Obtain and verify medical-aid membership, benefits and pre-authorizations.
• Follow up outstanding authorizations, extensions and funding needs.
• Assist with daily patient-in-progress reporting and documentation.
• Gather missing clinical and administrative information for finalizing accounts.
• Ensure patient accounts are complete and minimise claim delays.
• Liaise with Billing, Bill Audit and Case Management on outstanding items.
• Monitor medical-aid claim rejections and resolve queries.
• Track long-stay and high-value patients and update funding details.
• Maintain accurate case-management records and timely reporting.
• Adhere to hospital policies and confidentiality standards.

Skills

Medical-aid processes

Hospital patient administration

Authorisations

Billing awareness

Computer literacy

Education

Grade 12 / Matric

Tools

Hospital information systems

Job description

Joint Medical Holdings in Durban, South Africa, is seeking a Case Administrator to support the Case Management function from admission to discharge and account submission. You will manage medical-aid information, authorisations and billing documentation to improve cash flow and reduce rejections.

Requirements include Grade 12/Matric and experience in private hospital administration or billing. Proficiency in Microsoft Office and hospital information systems is advantageous.