Clinical Specialist

A vacancy exists in our clinical division at Genesis Medical Scheme. The position offered will suit a self-motivated and driven person who will be assisting in the auditing of risk claims, in and out of hospital.

The duties will include but not be limited to the following:

Auditing of accounts, applying industry rules and guidelines as set out in the relevant Tariff and Billing Rules, with outstanding administration skills, with the ability to meet SLA’s

The following competencies are required:

• Attention to detail with an investigative mind
• Self-motivated
• Confident with strong interpersonal skills
• Strong administrative skills
• Strong verbal and written communication
• Strong organisational skills with the ability to multi-task

The following minimum qualifications are required:

• Nursing Qualification (RN)
• Experience in Medical Surgical fields
• Exceptional understanding of tariff schedules and Hospital/Doctor billing guidelines 
• Knowledge of ICD10 and CPT4 coding
• ICU and Theatre experience

Your application requesting consideration for employment in the above-mentioned capacity must consist of a current CV together with a covering letter motivating for the Scheme’s consideration of your application.

Please indicate clearly, in the subject line of your email the title of the position for which you are applying and email: az.oc.lacidemsiseneg@seicnacav

Posted on 01 Apr 15:00, Closing date 31 May