Job title: Case Manager-General 01 CPT

Reports to: Patient Services Manager

Location: Cape Town

Job Purpose: The successful candidate will be goal oriented with strong customer, quality and performance focus.

Qualification & Experience:
Matric/Grade 12
SANC registration as an EN or RN
High school matric certificate
ICD10 and CPT coding experience
Experience of Medical Aid administration procedures and Hospital Case Management would be advantageous

Duties and Responsibilities
Carry out clinical coding in accordance with CPT and ICD requirements
Ensure authorisation information is accurate and in accordance with hospital and funder procedures
Maintain patients’ MHC status in accordance with funder approval requirements for the duration of hospitalisation
Provide complete and accurate updates and discharge information of all accounts
Keep patients and doctors informed of LOS authorised
Handle patient files in accordance with hospital procedures
Timeous electronic submission of accounts and follow up on short payments arising from case management related issues.
Ensure the adherence of hospital staff to funder rules and coding procedures
Keep well informed on legislation pertaining to funders and related Health Care matters

Working Hours: TBD

Salary: Negotiable

Start Date: ASAP