Confirmations Clerk - Accounts

Mediclinic Group; Fraserburg; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A leading healthcare organization is looking for a Confirmations Clerk in Fraserburg, South Africa. The role requires a Grade 12 or equivalent education and entails obtaining authorisation for patient claims, capturing necessary data, and referring risk cases. Experience in a clinical environment is advantageous but not required. The position is permanent and on-site, providing a unique opportunity for individuals to manage financial risk while ensuring compliance with medical standards.

Qualifications

• Grade 12 or equivalent is required.
• Experience in Clinical Environment is desired.

Responsibilities

• Obtain authorisation and re-authorisation for identified patients.
• Capture data and communicate to relevant parties.
• Identify and refer risk cases.
• Adhere to clinical coding standards.
• Ensure compliance with contracts and legal aspects.

Skills

Funder contracts; medical aid requirements/narrations

Patient admin programmes on the AS400 system

Clinical coding (Level 2 coding)

Computer literate (Microsoft Office)

Identify possible financial risks

Education

Grade 12 or equivalent

Job description

Important Notice: Mediclinic wants to alert candidates that third parties are from time to time fraudulently advertising vacancies at Mediclinic and/or offering employment contracts with subsequent payment instructions to accounts linked to the fraudulent activity. Please note that Mediclinic will never request payment for an application or offer made. All official vacancies are advertised on the Mediclinic career website and candidates are advised to visit the site to confirm the validity of vacancies.

Confirmations Clerk – Accounts | Mediclinic Hoogland | Bethlehem, South Africa

Closing date: 24/12/2025 | Number of positions: 1 | Recruiter name: Tebello Sekhoto | Reference number: 64266

Workplace type: On-site | Job type: 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

• Essential education: Grade 12 or equivalent
• Desired education: None

Required Experience

• Essential minimum experience: None
• 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 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.

Job segment: Compliance, Claims, Mid-Range, Clerical, Legal, Technology, Insurance, Administrative