Confirmations Clerk

Mediclinic International; Cape Town; On-site; ZAR 240,000 - 360,000; Part time

Job summary

Mediclinic Milnerton in Cape Town seeks a dedicated professional to ensure authorisation and re-authorisation of cases, enabling timely paid claims. The role requires strong coordination with funders, clinics and admin teams to mitigate financial risk.

Essential education is Grade 12. Experience in a clinical environment and familiarity with AS400 patient administration, funder contracts, clinical coding (Level 2) and related regulatory acts will help you succeed.

Qualifications

• Funder contracts and medical aid requirements
• AS400 patient administration experience
• Rules regarding funder contracts and coding standards
• Clinical coding (Level 2) knowledge
• B2B EMS familiarity for authorisations
• Awareness of statutory acts affecting claims
• Patient confidentiality and admin policies
• Daily workflow and case management processes

Responsibilities

• 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

Skills

Funder contracts

AS400 admin

Funder contracts rules

Clinical coding L2

B2B EMS

Statutory acts

Patient confidentiality

Daily workflow

Case management

Education

Grade 12

Job description

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Mediclinic Milnerton| Milnerton, Cape Town | South Africa

Closing date: 11/09/2026
Number of positions: 1
Recruiter name: Moegamad Magadie Martin
Reference number: 73346
Workplace Type:On-site
Fixed Term

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

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)
• 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