Confirmations Clerk

Medi Clinic; Bloemfontein; On-site; ZAR 180,000 - 300,000; Full time

Job summary

Mediclinic Bloemfontein is seeking a dedicated individual for an authorisation role aimed at minimising financial risk through effective communication and compliance with coding standards. The position requires managing authorisation processes and data capturing to support patient administration. This is an on-site, permanent position offering an excellent opportunity to start a career in healthcare.

Qualifications

• Grade 12 or equivalent is essential.
• Experience in a clinical environment preferred but not required.

Responsibilities

• Obtain and manage authorisation and re-authorisation for patients.
• Ensure compliance with coding standards and contractual obligations.
• Identify and refer financial risk cases.

Skills

Clinical coding

Computer literacy

Funder contracts knowledge

Understanding of medical aid requirements

Patient administration knowledge

Education

Grade 12 or equivalent

Tools

Microsoft Office

AS400 system

Job description

Mediclinic Bloemfontein| Bloemfontein | South Africa

Closing date: 21/07/2025
Number of positions: 1
Recruiter name: Boitumelo Edith Davids
Reference number: 62195
Workplace Type:On-site
Permanent

Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile

MAIN PURPOSE OF JOB

To minimise financial risk by ensuring authorisation and re-authorisation of all cases through effective communication between relevant parties.

KEY RESPONSIBILITY AREAS

Obtain authorisation and re-authorisation for all identified patients to ensure fully paid claims

Capture data and communicate to all parties

Identify and refer risk cases to minimise financial risks

Adhere to clinical coding standards as per Level 2 coding guideline

Ensure compliance to the confirmation procedure contracts and legal aspects by utilising available resources and systems

REQUIRED EDUCATION

ESSENTIAL EDUCATION: Grade 12 or equivalent

DESIRED EDUCATION: None

REQUIRED EXPERIENCE

Essential minimum experience: None

DESIRED EXPERIENCE : Experience in Clinical Environment

REQUIRED JOB SKILLS AND KNOWLEDGE

• Funder Contracts; Medical aid requirements/narrations
• Patient admin programmes on the AS400 system
• Rules and regulations regarding funder contracts
• Clinical coding (Level 2 coding)
• B2B EMS (electronic message system: check status of authorisations and use for trouble,shooting)
• Computer literate (Microsoft Office)
• Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.)
• Patient Administration policies and procedures (e.g. Patient Confidentiality; Visitation of external case managers; etc.)
• Daily workflow; managing deviances; coding; and case management processes
• Identify possible financial risks (e.g. no authorisation; insufficient LOS or LOC; etc.)

All applicants will be considered, with the understanding that preference will be given in accordance with the Employment Equity Plan of Mediclinic Southern Africa, as well as internal applicants/employees that meet the minimum requirements.

Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile