Claims Confirmation & Compliance Clerk

Mediclinic Group; Fraserburg; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A leading healthcare organization is looking for a Confirmations Clerk in Fraserburg, South Africa. The role requires a Grade 12 or equivalent education and entails obtaining authorisation for patient claims, capturing necessary data, and referring risk cases. Experience in a clinical environment is advantageous but not required. The position is permanent and on-site, providing a unique opportunity for individuals to manage financial risk while ensuring compliance with medical standards.

Qualifications

• Grade 12 or equivalent is required.
• Experience in Clinical Environment is desired.

Responsibilities

• Obtain authorisation and re-authorisation for identified patients.
• Capture data and communicate to relevant parties.
• Identify and refer risk cases.
• Adhere to clinical coding standards.
• Ensure compliance with contracts and legal aspects.

Skills

Funder contracts; medical aid requirements/narrations

Patient admin programmes on the AS400 system

Clinical coding (Level 2 coding)

Computer literate (Microsoft Office)

Identify possible financial risks

Education

Grade 12 or equivalent

Job description

A leading healthcare organization is looking for a Confirmations Clerk in Fraserburg, South Africa. The role requires a Grade 12 or equivalent education and entails obtaining authorisation for patient claims, capturing necessary data, and referring risk cases. Experience in a clinical environment is advantageous but not required. The position is permanent and on-site, providing a unique opportunity for individuals to manage financial risk while ensuring compliance with medical standards.