Officer: Bill Review - 12 Month Fixed Term Contract Job in Six Sense Consulting

Officer: Bill Review 12 Month Fixed Term Contract

Durban, ZN, ZA, 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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