Confirmations Clerk (Mediclinic Worcester, Worcester, ZA, Fairbairn )

Mediclinic
South Africa
Workplace: OnsiteFull timeFunction: Data Science & Machine LearningEducation: high_schoolSkills: ["Computer literacy","Data communication","Attention to compliance","Risk identification","Workflow management"]

Ensure timely authorisation and re-authorisation of patients’ medical aid cases to minimise financial risk and support fully paid claims. Capture and communicate case data to relevant parties, identify and refer risk cases, and apply clinical coding standards (Level 2). Maintain compliance with confirmation procedures, contracts, and legal requirements while working in patient administration systems (AS400) and electronic message tools (B2B EMS).

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FursaFursa
Mediclinic
Mediclinic
1 week ago

Confirmations Clerk (Mediclinic Worcester, Worcester, ZA, Fairbairn )

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Source: Company careers pageValidated by: Fursa AI
Last checked: 7 hours agoStatus: Live

Job Summary

Ensure timely authorisation and re-authorisation of patients’ medical aid cases to minimise financial risk and support fully paid claims. Capture and communicate case data to relevant parties, identify and refer risk cases, and apply clinical coding standards (Level 2). Maintain compliance with confirmation procedures, contracts, and legal requirements while working in patient administration systems (AS400) and electronic message tools (B2B EMS).
Location: South Africa
Workplace: Onsite
Employment Type: Full time · Permanent
Job Function: Data Science & Machine Learning
Seniority: Entry level

Key Responsibilities

  • •Obtain authorisation and re-authorisation for all identified patients to ensure fully paid claims.
  • •Capture case data and communicate to all relevant parties.
  • •Identify and refer risk cases to minimise financial risks (e.g., no authorisation; insufficient LOS/LOC).
  • •Adhere to clinical coding standards as per Level 2 coding guideline.
  • •Ensure compliance to confirmation procedure contracts and legal aspects using available resources and systems.

Key Requirements

  • •Grade 12 or equivalent.
  • •Experience in a clinical environment.
  • •Knowledge of funder contracts and medical aid requirements/narrations.
  • •Understanding of rules and regulations regarding funder contracts and applicable statutory acts (e.g., Consumer Protection Act; PMB).
  • •Clinical coding (Level 2 coding) and ability to use patient administration programmes on AS400 with B2B EMS and Microsoft Office.
Experience:Clinical environment
Education:High School
Skills:Computer literacyData communicationAttention to complianceRisk identificationWorkflow management
Tech Stack:AS400Microsoft OfficeB2B EMS

Company Brief

Mediclinic
Part of Mediclinic International, Mediclinic Middle East operates hospitals and clinics across the UAE, delivering specialist acute care, outpatient services and multi-disciplinary treatment across Dubai, Abu Dhabi, Al Ain and Al Dhafra.
Industry: Hospitals & Clinics
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Funding: Private Equity Backed
Headquarters: Dubai, United Arab Emirates
Founded: 1983
Glassdoor
Glassdoor: 3.9
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