Confirmations Clerk

Mediclinic Group; Bloemfontein; On-site; ZAR 50,000 - 200,000; Full time

Job summary

A healthcare provider in Bloemfontein is seeking an administrative professional to minimize financial risk by managing authorisations for patient cases. The ideal candidate should have at least a Grade 12 qualification and possess strong customer service and communication skills. This on-site position offers full-time employment in a dynamic clinical environment.

Qualifications

• Minimum of Grade 12 or equivalent required.
• Experience in a Clinical Environment preferred.

Responsibilities

• Obtain authorisation and re-authorisation for identified patients.
• Capture data and communicate to all relevant parties.
• Identify and refer risk cases.

Skills

Customer Service

Communication skills

Computer Skills

Cash Handling

Basic Math

Education

Grade 12 or equivalent

Tools

AS400 system

Microsoft Office

Job description

Overview

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 the 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 troubleshooting)
• 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

Key Skills

Customer Service,Communication skills,Basic Math,Cashiering,Computer Skills,Math,Retail Sales,10 Key Calculator,Copywriting,Cash Handling,Planograms,Stocking

Employment Type : Full Time

Experience : years

Vacancy : 1