Duties:
Administration of the review and assessing of PMB requests and CDL treatment plans
Evaluation and finalization of referred PMB applications in conjunction with the Clinical supervisor and/medical advisor
Ensure compliance to Scheme rules and PMB legislation

Requirements:
BCur Degree
ICD-10 training
Minimum 3-4 years experience in the Medical schemes industry and managed healthcare as a Case Manager or PMB role
Knowledgeable professional with good knowledge of the Medical Schemes Act, PMB legislation, ICD-10 and CPT coding

Salary:
R 35 000.00 ctc pm including medical aid and pension fund