Job title: Case Manager – General

Reports to: Patient Service Manager

Location: Western Cape – Mossel bay

Job Purpose: The position’s responsibilities include efficient patient case management and the delivery of an efficient and professional service to be internal and external customers. The successful candidate will be oriented with strong customer, quality and performance focus

Requirements
• 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 advantage
• Knowledge of hospital billing and tariffs as well as IMEDS/IMPILO would be an advantage
• Computer literacy
• Excellent communication skills and the ability to form build strong partnership
• Excellent negotiation skills and ability to interact with tact and diplomacy
• Excellent time management skills

Duties and Responsibility
• 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 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 patients 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