Confirmations Clerk (Mediclinic Milnerton, Milnerton, Cape Town, ZA, Racecourse)

Mediclinic
Cape Town
Workplace: OnsiteContractFunction: Solutions Engineering & Sales EngineeringEducation: high_schoolSkills: ["Risk identification","Data capturing","Communication","Compliance","Computer literacy"]

Ensure authorization and re-authorization of patient cases to minimize financial risk and support fully paid claims. Capture and communicate required patient/admin information to relevant parties, identify and refer risk cases, and follow clinical coding standards (Level 2) in line with confirmation procedures, contracts, and legal requirements. Use available systems and resources, including AS400 and B2B EMS, to manage day-to-day confirmation workflow and case management processes.

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FursaFursa
Mediclinic
Mediclinic
1 day ago

Confirmations Clerk (Mediclinic Milnerton, Milnerton, Cape Town, ZA, Racecourse)

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Source: Company careers pageValidated by: Fursa AI
Last checked: 10 hours agoStatus: Live

Job Summary

Ensure authorization and re-authorization of patient cases to minimize financial risk and support fully paid claims. Capture and communicate required patient/admin information to relevant parties, identify and refer risk cases, and follow clinical coding standards (Level 2) in line with confirmation procedures, contracts, and legal requirements. Use available systems and resources, including AS400 and B2B EMS, to manage day-to-day confirmation workflow and case management processes.
Location: Cape Town
Workplace: Onsite
Employment Type: Contract
Job Function: Solutions Engineering & Sales Engineering
Seniority: Entry level

Key Responsibilities

  • •Obtain authorisation and re-authorisation for identified patients to ensure fully paid claims.
  • •Capture and communicate patient information to relevant parties.
  • •Identify and refer risk cases to minimize financial risks (e.g., missing authorisation or insufficient LOS/LOC).
  • •Adhere to clinical coding standards (Level 2 coding) and follow confirmation procedures and legal aspects using available systems/resources.
  • •Utilize B2B EMS to check authorisation status and troubleshoot as needed, while managing daily workflow and case management processes.

Key Requirements

  • •Grade 12 or equivalent education.
  • •Experience in a clinical environment (desired).
  • •Knowledge of funder contracts and medical aid requirements/narrations.
  • •Ability to perform patient administration using the AS400 system.
  • •Understanding of clinical coding (Level 2 coding) and relevant statutory acts and patient administration policies/procedures.
Experience:Clinical environment
Education:High School
Skills:Risk identificationData capturingCommunicationComplianceComputer literacy
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
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Glassdoor: 3.9
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