Confirmations Clerk - Accounts

Medi Clinic; Randburg; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A healthcare organization in Randburg seeks an employee to manage financial risks through effective authorisation and communication in clinical environments. The role involves capturing data and ensuring compliance with clinical coding standards. Candidates must have at least a Grade 12 education, with essential skills in medical aid narratives and patient administration. Preference will be given to individuals meeting the Employment Equity Plan requirements.

Responsibilities

• Obtain authorisation and re-authorisation for all identified patients.
• Capture data and communicate to all relevant parties.
• Identify and refer risk cases to minimise financial risks.

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

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
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

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 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