Case Manager - Hospital Group (Kwa-Zulu Natal)
Glasshouse Recruiting
Date: 1 day ago
City: Durban, KwaZulu-Natal
Contract type: Full time
Check confirmations for L.O.S and L.O.C relative to each patient.
Assess patient clinical reports for communication to Medical Aids.
Process updates with Medical Aid for each patient.
Intermediate/ Advanced competency of ICD 10 and CPT coding.
Check all ICD, CPT Coding, and authorization numbers.
Handle communication and queries with Medical Aid Case Managers.
Assist Patients/Doctors with patients requiring step down facilities.
Liaising with Doctors, Nursing Staff and Patients.
Liaising with the Debtors Department regarding any queries.
Release and submit claims timeously to medical aid via Medikredit.
Release and submit accounts timeously.
Constantly monitoring patient status.
Constantly liaising with Medical Aids updating patient status.
Effective communication with Patients, Doctors, Nursing Staff, Medical Aids etc.
Ensure adequate record keeping.
General administration duties.
Ensure weekly case management queries are carried out
A valid Grade 12 or Matric Equivalent Certificate
Extensive case management background with ICU/ High Care experience
Computer literacy essential
Strong Administration skills
Knowledge of Medical Aid Policies & Procedures
Above average interpersonal and Communication Skills
Absolute compliance with Confidentiality Policies & Procedures
Between 1 - 3 Years
Assess patient clinical reports for communication to Medical Aids.
Process updates with Medical Aid for each patient.
Intermediate/ Advanced competency of ICD 10 and CPT coding.
Check all ICD, CPT Coding, and authorization numbers.
Handle communication and queries with Medical Aid Case Managers.
Assist Patients/Doctors with patients requiring step down facilities.
Liaising with Doctors, Nursing Staff and Patients.
Liaising with the Debtors Department regarding any queries.
Release and submit claims timeously to medical aid via Medikredit.
Release and submit accounts timeously.
Constantly monitoring patient status.
Constantly liaising with Medical Aids updating patient status.
Effective communication with Patients, Doctors, Nursing Staff, Medical Aids etc.
Ensure adequate record keeping.
General administration duties.
Ensure weekly case management queries are carried out
A valid Grade 12 or Matric Equivalent Certificate
Extensive case management background with ICU/ High Care experience
Computer literacy essential
Strong Administration skills
Knowledge of Medical Aid Policies & Procedures
Above average interpersonal and Communication Skills
Absolute compliance with Confidentiality Policies & Procedures
Between 1 - 3 Years
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