vacancy in medical department

To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests Open, review and resolve all clinical queries and assessments through providing a clinical decision or requesting more information wh...

A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town)Job description & duties:The duties for which you will be responsible in terms of this contract are briefly listed below and will be subject to amendment from time to time as required based on discussions with your manager:To check and validate all GAP claim documents received and to request any ou...

Position Purpose: To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources. Experience: 5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working exp...

We are looking for a highly experienced Medical Consultant. The successful candidate will be responsible for managing private client facilities and placing appropriate locum medical staff at those facilities. SD Recruitment (Pty) Ltd provides a 24/7 service, which means the Medical Consultant must ensure cover of their functions at all times for urgent matters based on operational requirements Ke...

To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds.Experience:8 years Managed Care experience preferred.Qualifications:Accountabilities:- Provide clinical inputs on ex-gratia funding requests - Open, review and resolve all clinical queries and assessments through providing a cli...

Job Position: Debtors ManagerRef: 4682Location: PE/GqeberhaSalary: R40 000 to R70 000 per month commensurate with qualification and experienceEmail your CV to ****** / Requirements: Bachelor's Degree in Finance, Accounting, Business Administration, or a related field would be advantageous Minimum of 3 years' experience in Medical industry debtors Advanced computer literacy skills including MS Exc...

Support the continuous improvement of the staffing function through development and implementation for all staffing programs in an assigned business unit/department, primarily in one geography. May be required to assist with providing staffing support to assigned management team for a geographically distributed organization or pan regional, as assigned. With some guidance, conduct recruiting acti...

Reference: JHB001024-VM-1 Well established medical marketing / advertising agency requires a Medical Proof reader / Medical Liaison. Matric is essential Minimum of 3 years proof reading experience is essential Medical Diploma / Degree is preferred Veeva experience is highly beneficial Medical understanding and knowledge would secure The ability to read and understand clinical trials is a must Att...

Transport Officer: Logistics and Asset Management, Ref No. DOI 69/2024 - Cape TownFull job descriptionJob PurposeThe Department of Infrastructure, Western Cape Government has an opportunity for a suitably qualified and competent individual to manage GG (fleet & GMT Taxi) and private vehicles (rentals & use of private vehicles) at District level.Minimum RequirementsGrade 12 (Senior Certificate or ...

Diplomat South Africa is recruiting for the role of Sales Representative based in North West (Klerksdorp North/Vaal). This position will report to the Regional Manager . Job Objective: To implement the sales strategy in the allocated region for all the customers in that region. The main purpose is to achieve sales targets and revenue margins by ensuring that the right products are in the right pl...

ABOUT Intercare is a dynamic healthcare company focusing on offering value-based healthcare to patients. As ambassadors of the Intercare brand, everything we do is guided by our purpose to make people feel better. Our shared values of People-centred, Integrity, Inclusivity, Excellence and Innovation define what we believe and who we are. Intercare Waterstone Medical and Dental Centre situated in ...

ABOUT Intercare is a dynamic healthcare company focusing on offering value-based healthcare to patients. As ambassadors of the Intercare brand, everything we do is guided by our purpose to make people feel better. Our shared values of People-centred, Integrity, Inclusivity, Excellence and Innovation define what we believe and who we are. Intercare Waterstone Medical and Dental Centre situated in ...

A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town)Job description & duties:The duties for which you will be responsible in terms of this contract are briefly listed below and will be subject to amendment from time to time as required based on discussions with your manager:To check and validate all GAP claim documents received and to request any ou...

Position Purpose: To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources. Experience: 5 years experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working expe...

Purpose of the Job: Review Medical Bills Key Performance Areas Audit & review medical bills. Analysis of claimed items/services in correlation with available tariff structures and ICD 10 /CPT 4 codes. Requesting motivation for unreasonable accounts Line by line analysis of claim items/service. Matching those appropriate tariffs/ ICD/CPT codes. Flagging rejected items/services. Recommendations to ...

Human Resources Officer - GermistonFull job descriptionDate: May 21, 2024Location: Wadeville, Germiston, ZA, 1428Req ID: 30210Onsite or Remote: Onsite PositionKomatsu is an indispensable partner to the construction, mining, forestry, forklift, and industrial machinery markets, maximizing value for customers through innovative solutions. With a diverse line of products supported by our advanced Io...

Medical Sterilization - Territory: National Responsible for the sales and key account management of the Sterilization range of products, including maintaining and growing existing business and expanding of sales within the assigned territory. Scheduling and attending appointments with existing and potential customers; and sub-distributors. Demonstration of products to Clinical personnel. Achievin...

Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experi...

This position supports the Medical Consultants by managing out-of-hours client needs and staff bookings SD Recruitment (Pty) Ltd is a Medical Recruitment Company with services operating 24/7, which means the Out-Of-Hours Consultant must make arrangements for cover of their portfolio at all times for urgent matters based on operational requirements Key Responsibilities: Client relations Focusing o...

These jobs were popular with other job seekersDo you thrive in the dynamic world of legal risk management? Are you a seasoned legal professional with a deep understanding of medical malpractice and road accident fund (RAF) claims? If you're a leader who can navigate complex legal landscapes and ensure organizational compliance, then we want to hear from you!We are seeking a highly motivated and e...

These jobs were popular with other job seekersThe incumbent will be responsible to retain members of the medical schemes as well as reduce the drop off rate of the existing membership base.Duties & ResponsibilitiesAccountabilities:Client service delivery and quality- Follow procedures and cooperate with peers and leader for best possible service deliveryCompliance and Risk Management- Defined leg...

These jobs were popular with other job seekersThe incumbent will be responsible to retain members of the medical schemes as well as reduce the drop off rate of the existing membership base.Duties & ResponsibilitiesAccountabilities:Client service delivery and quality- Follow procedures and cooperate with peers and leader for best possible service deliveryCompliance and Risk Management- Defined leg...

Senior Lecturer/ Lecturer (Permanent) and Rotational Head of Department (5-year contract) Maritime Studies - (Re-advertisement) - (7207) Share this job as a link in your status update to LinkedIn. Job Title Senior Lecturer/ Lecturer (Permanent) and Rotational Head of Department (5-year contract) Maritime Studies - (Re-advertisement) Faculty Department Cape Peninsula University of Technology -> En...

Office Manager, Ref No. CAS 33/2024 - Cape TownFull job descriptionClosing Date2024/06/17Reference NumberWCG240509-4 Tracking NumberCAS 33/2024 Job TitleOffice Manager, Ref No. CAS 33/2024 DepartmentCultural Affairs and Sport Salary level9 EnquiriesMs C. Van Wyk at: (021) 483 9507/8 Job TypePermanent Location - CountrySouth Africa Location - ProvinceWestern Cape Location - Town / CityCape Town, C...