Main Job Functions: - Ensure collection of all debtors happens within relevant parameters. - Follow up with debtors on payments. - Ensure all invoices are paid timeously. - Follow up on queries. - Attend department meeting weekly to give feedback on age analysis. - Escalate any account problems to relevant department Managers. - Accurately monitor all outstanding funds and follow up. -...
Requirements: - Enrolled Nurse / Paramedic - 35 years of experience in pre-authorization within managed healthcare. - Knowledge of PMB conditions, clinical guidelines, ICD-10 codes, and hospital systems. - Familiarity with medical scheme regulations and billing procedures. Key Responsibilities: - Authorize hospital admissions per scheme guidelines. - Verify in-hospital benefits and funding. -...
Medical Billing Claims Administrator Location: Mooikloof, Pretoria East Salary: Market Related Specialisation: Specialist Medical Billing (Private Practice & Bureau) About the Opportunity A well-established Medical Bureau based in Pretoria East is looking for a Medical Billing Claims Administrator with recent, hands-on experience in specialist billing. This role is ideal for someone who...
MINIMUM REQUIREMENTS: · B.Eng degree (electronic or computer). · Software design and implementation experience (Minimum 10 years). · Experience in product development. · Software system engineering experience. · Specialist knowledge (required / preferred): o Object orientated programming experience (C++) (required). o Embedded systems software development (required). o Experience in image...
Minimum Requirements: - Diploma or Degree in Nursing, Physiotherapy, Clinical Associates, Paramedics as Critical Care Assistants or Emergency Care Practitioners or any other qualification that covers Anatomy, Physiology, Pathophysiology and Microbiology as foundational courses - Current SANC registration appropriate to relevant medical qualification - Knowledge of the Life Bill Audit Toolkit,...
Electrical & Electronic Systems Engineer Randburg Qualification and skills required: - B. Eng. or B.Sc. in Electrical/Electronic or Electrical & Electronic Engineering - Must be proficient in Microsoft Office Suite, especially Visio for schematic creation and documentation. - Ability to read and interpret electrical schematics, wiring diagrams, and datasheets. - Familiarity with electrical...
ENVIRONMENT: A leading provider of Electronic Systems seeks the technical expertise of an Automation and DevOps Engineer who can understand complex systems and break down requirements into manageable components. The ideal candidate for this role will have the strategic combination of the business analysis and software automation skills: critically observing and researching business processes and...
Position Overview: The successful candidate will be responsible collecting, analysing and interpreting complex healthcare data to support clinical, operational and strategic decision-making. The role requires strong technical expertise in SQL, data visualisation tools such as Power BI (or similar) and knowledge of clinical coding standards. Essential Job Functions: - Extract, manipulate and...
Overview Hire Resolve’s are seeking a detail-oriented and organized individual to join their medical billing team as a Medical Billing Agent. The ideal candidate will be responsible for accurately billing and collecting payments from patients and insurance companies. Key Responsibilities: Patient data capturin Billing for a variety of Specialist Doctors, Allieds, GP’s Have expert knowledge of...
Job Location : Pretoria, Gauteng, South AfricaApplication Deadline : January 29, 2026 Role Description - The Funder Relations and Contracting Manager is responsible responsible for the strategic management, implementation, and optimisation of all medical scheme, funder, and insurance agreements across Intercare Care Settings to ensure compliant billing, accurate tariff application, system...
Location: Clinix Naledi Nkanyezi Private Hospital (Sebokeng). Reports to: Unit Manager Job Summary: To provide administrative support to the Unit Manager (and the Nursing team) of an allocated unit thereby contributing to the overall success of the unit and meeting both internal and external customer expectations. Minimum Requirements: - NQF 5 / Relevant Nursing Qualification. - Computer...
Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our...
Role Purpose Ensure accurate and compliant underwriting decisions through thorough investigation, alignment with guidelines, analysis of underwriting criteria, and maintaining quality and compliance standards. Requirements - Underwriting Certification is advantageous. - Bachelor degree or equivalent qualification in a relevant field such as healthcare administration, nursing, allied sciences,...
We're looking for an analytical, detail-oriented Consultants within the Hospital Benefit Management team . The role involves managing telephonic hospital pre-authorisations, clinical queries, and case management while building strong relationships with our members. Requirements: - Clinical Medical Associate qualification or Registered Nurse qualification - 1–2 years' Pre-Auth experience...
Role Overview:We are seeking a detail-oriented Medical Aid Verification of Benefits (VOB) Administrator to verify patient medical aid cover, benefits, and authorisations prior to medical services being rendered.The role ensures accurate benefit verification, reduces claim rejections, and supports smooth billing and patient communication.This position is critical in ensuring that medical services...
Function Nursing Facility Position Bill Auditor Introduction A vacancy exists for Bill Auditor based at Life Fourways Hospital reporting to the Patient Services Manager, Sibahle Xhali. The successful candidate will be responsible for managing the financial and clinical risks of the business unit by conducting retrospective audits of patient documentation, to identify and highlight areas of...
ISTA Personnel Solutions South Africa is a global BPO partnering with a USA-based healthcare client providing services within Skilled Nursing Facilities (SNFs), post-acute care, and revenue cycle management. We are seeking a Clinical Case Manager with healthcare experience in SNFs, inpatient authorizations, clinical review, and medical billing. This remote role requires a detail-oriented...
Function Patient services Facility Position Case Manager | General Ward Introduction A vacancy exists for a Case Manager General Ward based at Life Wilgers Hospital, reporting to the Patient Services Manager. The successful candidate will be responsible for managing the financial and clinical risks of the patient in a general ward by ensuring accurate coding, clinical updates and accounts...
Overview Hire Resolve has partnered with a Medical Billing company that provides medical practitioners with a range of medical account administration to find a Billing Agent Expert Leader to join their team in Johannesburg. Responsibilities Patient data capturing Patient Billing for a variety of Specialist Doctors, Allieds, GP’s Have expert knowledge on charge codes and ICD10 codes for all...
MINIMUM REQUIREMENTS: · B.Eng degree (electronic or computer). · Software design and implementation experience (Minimum 2 years). · Experience in product development. · Software system engineering experience. · Specialist knowledge (required / preferred): o Object orientated programming experience (C++) (required). o Embedded systems software development (required). o Experience in image...