Confirmations Clerk

Mediclinic; George; Vor Ort; ZAR 360.000 - 480.000; Vollzeit

Zusammenfassung

Mediclinic George is seeking a Hospital Administration Officer to manage authorisation and re-authorisation of patient cases, coordinating with funders, medical aids and internal teams to ensure claims are processed accurately and promptly.

You will handle data capture, risk referrals, and compliance with coding standards and contractual procedures, leveraging AS400 and MS Office tools while adhering to Consumer Protection Act and PMB guidelines.

Qualifikationen

• Hospital administration experience essential.
• Funder contracts and medical aid requirements know‑how.
• AS400 and MS Office proficiency required.
• Clinical coding knowledge (Level 2) and related Acts awareness.

Aufgaben

• 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 and contracts; ensure compliance.

Kenntnisse

Funder Contracts

Medical Aid Narratives

AS400 System

MS Office

Clinical Coding Level 2

Data Capture

Patient Administration

Ausbildung

Grade 12 or Equivalent qualification

Relevant Short Courses/Certificates

Tools

AS400

MS Office

Jobbeschreibung

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

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 qualification

DESIRED EDUCATION: Relevant Short Courses and Certificates

REQUIRED EXPERIENCE

ESSENTIAL MINIMUM EXPERIENCE: Hospital administration 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)
- 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