Officer: Bill Review 12 Month Fixed Term Contract

Durban, KwaZulu-Natal, South Africa

https://www.mncjobs.co.za/company/six-sense-consulting

Job Description

A well-established financial services business is seeking to appoint an Officer: Bill Review for a 12 Month Fixed Term Contract

Audit & review medical bills
Analysis of claimed items/services in correlation with available tariff structures and ICD 10 /CPT 4 codes.
Requesting motivation for unreasonable accounts
Line by line analysis of claim items/service. Matching those appropriate tariffs/ ICD/CPT codes.
Flagging rejected items/services.
Recommendations to the department responsible for processing payments
Auditing medical claims and assisting in technical aspects of bill review

Qualification and Experience:

Bachelor's Degree or Advanced Diploma in nursing/ Allied Health Professions or related qualification
Relevant 3 years' experience in a medical field.
Registration with the relevant Health Professional Council

Technical and behavioral competencies required.

Computer literacy
Ability to interpret the rules of the UPFS tariffs.
Analytical skills
Organizational & administrative skills
Planning and Organizing
Decision making
Negotiation skills
Personal mastery
Emotional wisdom
Ethics and governance
Customer orientation and customer focus

Please note that if you have not received a response within 14 days of submitting your application that your application was unsuccessful.
However, please keep a lookout on our website, www.sixsense.co.za for available positions which may be inline with your career aspirations.

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