Overview
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Position: Confirmations Clerk – Accounts
Location: Mediclinic Constantiaberg | Plumstead, Cape Town | South Africa
Closing date: 16/09/2025
Number of positions: 1
Recruiter name: Nontombi Ncediwe
Reference number: 63453
Workplace Type: On-site
Employment type: Permanent
Main purpose of the job
To minimise financial risk by ensuring authorisation and re-authorisation of all cases through effective communication between relevant parties.
Key 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 as per Level 2 coding guideline
* Ensure compliance to the confirmation procedure contracts and legal aspects by utilising available resources and systems
Education
Essential education: Grade 12 or equivalent
Desired education: None
Experience
Required Experience: Essential minimum experience: None
Desired Experience: Experience in Clinical Environment
Skills and knowledge
* Funder Contracts; Medical aid requirements/narrations
* Patient admin programmes on the AS400 system
* Rules and regulations regarding funder contracts
* Clinical coding (Level 2 coding)
* B2B EMS (electronic message system: check status of authorisations and use for troubleshooting)
* Computer literacy (Microsoft Office)
* Relevant statutory acts (e.g. Consumer Protection Act; PMB; etc.)
* Patient Administration policies and procedures (e.g. Patient Confidentiality; Visitation of external case managers; etc.)
* Daily workflow; managing deviances; coding; and case management processes
* Identify possible financial risks (e.g. no authorisation; insufficient LOS or LOC; etc.)
All applicants will be considered, with preference given in accordance with the Employment Equity Plan of Mediclinic Southern Africa, as well as internal applicants/employees that meet the minimum requirements.
Please note: if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile
Application
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Job Type: Administration
Job Segment: Compliance, Claims, Mid-Range, Clerical, Legal, Technology, Insurance, Administrative
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