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Mediclinic•Entry-Level

Requirements

✓REQUIRED EDUCATION
✓ESSENTIAL EDUCATION: Grade 12 or equivalent
✓DESIRED EDUCATION: None
✓REQUIRED EXPERIENCE
✓Essential minimum experience: None
✓DESIRED EXPERIENCE: Experience in Clinical Environment
✓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.)

Mediclinic Bloemfontein | Bloemfontein | South Africa

Closing date: 06/02/2026

Number of positions: 1

Recruiter name: Boitumelo Edith Davids

Reference number: 67311

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

Apply directly on Mediclinic's website.