Confirmations Clerk

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

Job summary

A healthcare provider in Polokwane is seeking a Candidate to manage authorisations and minimise financial risks. Responsibilities include ensuring fully paid claims and maintaining compliance with clinical and legal standards. Ideal candidates will have Grade 12 and experience in a clinical environment is desirable. The position is full-time and requires strong communication and administrative skills.

Responsibilities

• Obtain authorisation and re-authorisation for all identified patients.
• Capture data and communicate to all parties.
• Identify and refer risk cases to minimise financial risks.
• Adhere to clinical coding standards.
• Ensure compliance to confirmation procedures.

Skills

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)

Computer literate (Microsoft Office)

Relevant aspects of applicable statutory acts

Patient Administration policies and procedures

Daily workflow; managing deviances; coding

Identify possible financial risks

Education

Grade 12 or equivalent

Job description

Overview

Mediclinic Limpopo Polokwane South Africa

Closing date : 24 / 08 / 2025

Number of positions : 1

Recruiter name : Prudence Nosicelo Magawu

Reference number : 63019

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 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

Education

REQUIRED EDUCATION

Grade 12 or equivalent

DESIRED EDUCATION

None

Experience

REQUIRED EXPERIENCE

Essential minimum experience : None

DESIRED EXPERIENCE

Experience in Clinical Environment

Skills and knowledge

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