Healthcare Authorisations & Claims Clerk – On-site

Mediclinic; George; On-site; ZAR 360,000 - 480,000; Full time

Job summary

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.

Qualifications

• 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.

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 and contracts; ensure compliance.

Skills

Funder Contracts

Medical Aid Narratives

AS400 System

MS Office

Clinical Coding Level 2

Data Capture

Patient Administration

Education

Grade 12 or Equivalent qualification

Relevant Short Courses/Certificates

Tools

AS400

MS Office

Job description

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.