Healthcare Confirmations & Billing Specialist

Netcare; Pretoria; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Netcare is seeking a confirmations clerk in Pretoria to communicate with funders and internal teams about authorisations and benefits. The role confirms authorisations, LOS, clinical codes and care level to ensure accurate billing and reporting.

You will follow up on outstanding authorisations, reflect insurer data in SAP, and collaborate with the Hospital Billing Coordinator to gather required documents, while maintaining professional communications with all stakeholders.

Qualifications

• Experience in a healthcare setting.
• Experience with clinical or healthcare billing systems.
• Grade 12 or equivalent NQF Level 4 qualification.

Responsibilities

• Confirm authorisations for hospital admissions.
• Follow up outstanding authorisations.
• Reflect information from insurer on SAP system.
• Manage flow of files from case management to billing.
• Escalate outstanding funder responses.
• Collaborate with Hospital Billing Coordinator on documentation.
• Maintain Netcare digital communications.
• Assist with adhoc duties as required.
• Work with case managers, file assessors and coders.
• Support transformation towards digitally enabled systems.

Skills

Customer focus

Communication

Teamwork

Building relationships

Personal work ethic

Technical knowledge

Computer literacy

Education

Grade 12 or equivalent NQF Level 4

Tools

Billing systems

Job description

Netcare is seeking a confirmations clerk in Pretoria to communicate with funders and internal teams about authorisations and benefits. The role confirms authorisations, LOS, clinical codes and care level to ensure accurate billing and reporting.

You will follow up on outstanding authorisations, reflect insurer data in SAP, and collaborate with the Hospital Billing Coordinator to gather required documents, while maintaining professional communications with all stakeholders.