Administration Clerk: Support (case Management)

PROVINCIAL ADMINISTRATION: WESTERN CAPE DEPARTMENT
DEPARTMENT OF HEALTH
SALARY : R152 862 (Level 5) per annum
CENTRE : Groote Schuur Hospital, Observatory 79
CLOSING DATE : 13 October 2017

REQUIREMENTS :
Minimum educational qualification: Senior Certificate (or equivalent).
Experience: Appropriate experience in a Fees/Case Management related environment.
Competencies (knowledge/skills): Knowledge of Clinicom, Billing and EDI (Electronic Data Interchange) Ability to work with excel spread sheets, Microsoft word and web based programs (medical aids).
Excellent communication, conflict management, interpersonal and leadership skills.
Good communication skills (written and verbal) in at least two of the official languages of the Western Cape
DUTIES :
Key result areas/outputs: Render administrative support to the Case Manager.
Liaise with medical scheme funders with regards to benefits, authorisations, admissions.
Liaise with the various role-players i.
e.
Clinicians, Managed Care Organisations, Medical Scheme and Case Managers to monitor utilisation and updDepartment and the relevant hospital staff with regards to account queries, follow up of outstanding medical scheme balances and the identification of PMB (i.
e.
ICD10 coding, UPFS procedures codes).
Assist with Medikredit EDI rejection reports and ensure corrections are completed timeously and resubmitted to Medikredit.
Update records for Case Manager with regards to policies, procedures, and reports.

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