Case Manager - Hospital Group (Kwa-Zulu Natal) Job in Glasshouse Recruiting

Case Manager Hospital Group (kwa Zulu Natal)

Durban, ZN, ZA, South Africa

Job Description

Check confirmations for L.O.S and L.O.C relative to each patient.

Assess patient clinical reports for communication to Medical Aids.

Process updates with Medical Aid for each patient.

Intermediate/ Advanced competency of ICD 10 and CPT coding.

Check all ICD, CPT Coding, and authorization numbers.

Handle communication and queries with Medical Aid Case Managers.

Assist Patients/Doctors with patients requiring step down facilities.

Liaising with Doctors, Nursing Staff and Patients.

Liaising with the Debtors Department regarding any queries.

Release and submit claims timeously to medical aid via Medikredit.

Release and submit accounts timeously.

Constantly monitoring patient status.

Constantly liaising with Medical Aids updating patient status.

Effective communication with Patients, Doctors, Nursing Staff, Medical Aids etc.

Ensure adequate record keeping.

General administration duties.

Ensure weekly case management queries are carried out

A valid Grade 12 or Matric Equivalent Certificate

Extensive case management background with ICU/ High Care experience

Computer literacy essential

Strong Administration skills

Knowledge of Medical Aid Policies & Procedures

Above average interpersonal and Communication Skills

Absolute compliance with Confidentiality Policies & Procedures

Between 1 - 3 Years