Confirmations Clerk

Mediclinic; George; On-site; ZAR 300,000 - 520,000; Full time

Job summary

Mediclinic George in George, South Africa, is seeking a dedicated administrator to minimise financial risk by ensuring authorisation and re-authorisation of all cases through effective communication between relevant parties. The role requires attention to coding standards and compliance with contracts and legal aspects, working on-site.

Responsibilities include obtaining authorisation, capturing data, and identifying risk cases to safeguard paid claims.

Qualifications

• DESIRED EDUCATION: Relevant Short Courses and Certificates.
• DESIRED EXPERIENCE: Experience in a similar position.

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 System

Medical Narratives

Clinical Coding

EMS messaging

Statutory acts

Patient confidentiality

Case management

Education

Relevant Short Courses and Certificates

Job description

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Mediclinic George| George | South Africa

Closing date: 01/11/2026
Number of positions: 1
Recruiter name: Dalena Boshoff
Reference number: 74832
Workplace Type:On-site
Permanent

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

DESIRED EDUCATION: Relevant Short Courses and Certificates

REQUIRED EXPERIENCE

DESIRED EXPERIENCE : Experience in a similar position

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.