Pathology Subject Matter Expert

Universal Health; Sandton; Presencial; ZAR 350 000 - 480 000; Tempo integral

Resumo da oferta

Universal Healthcare Group seeks a Pathology SME to assess the diagnostic pathology consultations and claims from service providers. Assist in the management and supervision of the daily activities of the pathology services in a medical aid environment.

The role includes coordinating pathology-related education, monitoring claims for medical scheme compliance, overseeing operations and administration, and preparing necessary reports.

Qualificações

• 3–5 years’ experience in a similar role (Billing and Claims experience).
• Continuous education relating to Pathology related queries and diagnostic evaluation.

Responsabilidades

• Continuous education relating to Pathology related queries and diagnostic evaluation.
• Consultation with the relevant providers and or stakeholders to ensure control and monitoring of claims related to Pathology results to ensure that they are in line with medical scheme rules.
• Oversee overall operation and administration requirements.
• Compile the relevant reports as required.

Formação académica

Matric/ Grade 12

Descrição da oferta de emprego

Universal Healthcare Group - Pathology SME

Universal Healthcare Group seeks a Pathology SME to assess the diagnostic pathology consultations and claims from service providers. Assist in the management and supervision of the daily activities of the pathology services in a medical aid environment.

Duties & Responsibilities

1. Continuous education relating to Pathology related queries and diagnostic evaluation.
2. Consultation with the relevant providers and or stakeholders to ensure control and monitoring of claims related to Pathology results to ensure that they are in line with medical scheme rules.
3. Oversee overall operation and administration requirements.
4. Compile the relevant reports as required.

Desired Experience & Qualification

1. Matric/ Grade 12
2. 3-5 years’ experience in a similar role (Billing and Claims experience)