About this role
Mediclinic George | George | South Africa Closing date: 01/11/2026 Number of positions: 1 Recruiter name: Dalena Boshoff Reference number: 74832 Workplace Type: On-site Permanent 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 MAIN PURPOSE OF JOB To minimise financial risk by ensuring authorisation and re-authorisation of all cases through effective communication between relevant parties.
KEY RESPONSIBILITY AREAS 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
REQUIRED EDUCATION ESSENTIAL EDUCATION
Grade 12 or Equivalent qualification
DESIRED EDUCATION
Relevant Short Courses and Certificates
REQUIRED EXPERIENCE ESSENTIAL MINIMUM EXPERIENCE
Hospital administration experience
DESIRED EXPERIENCE
Experience in a similar position REQUIRED JOB 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 trouble,shooting) Computer literate (Microsoft Office) Relevant aspects of applicable 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 the understanding that preference will be 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