Confirmations Clerk

Mediclinic International; Wes-Kaap; On-site; ZAR 50 000 - 200 000; Full time

Job summary

A leading healthcare provider in South Africa is seeking a candidate to manage financial risk through authorisation processes and effective communication. Responsibilities include obtaining authorisations, capturing critical data, and adhering to clinical coding standards. The ideal candidate will have a Grade 12 education and experience in a clinical environment with knowledge of relevant funder contracts and patient administration policies. This role is on-site and permanent.

Qualifications

• Grade 12 or equivalent required education.
• Desired experience in Clinical Environment.

Responsibilities

• Obtain authorisation and re-authorisation for patients.
• Capture data and communicate to relevant parties.
• Identify financial risks and manage adherence to coding standards.

Skills

Funder Contracts; Medical aid requirements/narrations

Patient admin programmes on the AS400 system

Clinical coding (Level 2 coding)

Rules and regulations regarding funder contracts

Identify possible financial risks

Daily workflow management

Education

Grade 12 or equivalent

Job description

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Mediclinic Cape Gate| Brackenfell, Cape Town | South Africa

Closing date: 17/11/2025
Number of positions: 1
Recruiter name: Jamie Levern Scholtz
Reference number: 65284
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
• 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

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