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. -...
Registered Nurse (Case Manager) Reference: PE000174-HP -2 The hiring organisation offers a minimum six-month fixed term contract opportunity to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based in Port Elizabeth, EC but the possibility exists of a candidate being based in Durban, Bellville or Centurion. ROLES AND RESPONSIBILITIES: - Review of...
VAT Auditor / Senior Auditor East London Location: East London Eastern Cape Position Overview: Join a dynamic consulting group and become part of their winning team where everyone is rewarded for achieving goals and objectives. The team is expanding and seeking the expertise of a dynamic career auditor to join them at their East London office. Duties & Responsibilities Conduct a full VAT...
A global BPO company is seeking a detail-oriented Clinical Case Manager. This remote role involves managing complex healthcare cases, coordinating with US insurance providers, and ensuring compliant billing. Candidates must have healthcare experience and the ability to work USA hours from South Africa. Key responsibilities include medical documentation review, authorization processing, and...
Position: Clinical Quality Assurance Officer Location: Centurion, Gauteng Position Purpose: To ensure that clinical services meet established quality standards, regulatory requirements, and best practice clinical guidelines. This role drives measurable improvements in member care, clinical outcomes, utilization management, and adherence to statutory frameworks. Experience: - 3–5 years’...
Position Summary Industry: Education & Training Job category: University and Academy Location: Potchefstroom Contract: Fixed Term Contract Remuneration: The annual total remuneration package will be commensurate with the level of appointment as advertised and in line with the NWU policy guidelines. About Our Company NWU Introduction NORTH-WEST UNIVERSITY (POTCHEFSTROOM CAMPUS) | FACULTY...
PURPOSE OF THE JOB To provide patient-physician liaison, liaise between Impala medical Plan and external service providers, ensure appropriate care as per benefits applicable to clients/members in order to ensure provision of high quality and cost-effective care to our clients or members. MINIMUM QUALIFICATIONS AND REQUIREMENTS - Nursing Diploma/Degree is essential. - Registered with the South...
A healthcare recruiting firm in South Africa seeks a Clinical Auditor to enhance patient care through detailed audits. You'll conduct internal audits of clinical documentation for compliance with coding standards, provide training, and produce audit reports. The ideal candidate will be an experienced RN or clinical professional familiar with ICD-10 and CPT coding, thrive in a remote setting, and...
Billing Specialist Location: Pearl Cape Town, Western Cape, South Africa Department: Finance and Accounting Work Arrangement: Remote Job Type: Independent Contractor, Full Time Work Schedule: US Time Zone (candidate expected to be flexible with the client's preference) Locations: Philippines, LATAM, South Africa, Kenya, and other remote regions with excellent English communication...
Overview STA Personnel Solutions South Africa - We are a global Business Process Outsourcing (BPO) provider based in South Africa, working with a US-based client in the healthcare revenue cycle management space. We are currently looking for a Virtual Healthcare Case Coordinator with experience in Skilled Nursing Facilities (SNFs) to join our team. The successful candidate will be responsible...
Talent Pool: Clinical Specialist MMH251118-9 Location: Momentum Centurion, Gauteng, South Africa Role Purpose: Accountable for clinical risk management processes, operationalizing process improvements, interpreting requirements from stakeholders and collaboratively constructing meaningful rules and data mapping requirements for BSS configuration and business transformation, ensuring alignment...
Background Our client in the Healthcare and Medical Industry has a position for a Clinical Data Analyst based in Johannesburg area. Requirements - Bsc Degree / Bsc Honours in Data Science or Health Informatics or Statistics or Computer Science or related field - Masters degree will be an advantage - Minimum of 5 years experience in Clinical or Healthcare Data Analysis - Experience working in a...
Receptionist - Medical vacancy: The Medical Receptionist is responsible for delivering a professional efficient and compassionate front-of-house service. This role is critical to patient experience administrative accuracy and smooth practice operations. Key Performance Indicators (KPIs) - Telephone response time: 3 rings - Appointment confirmations: 100% by previous day - Billing accuracy:...
Job Title: Case Manager Company: Aryxs Health Pty Ltd / The IV Bar Bryanston and The IV Bar BluBird Responsibilities - Communicate on several platforms with a multi-disciplinary team as well as funders externally. - Curator for all outgoing reporting to funders. - Provide appropriate information to Medical aids. - Code all patients. - Assist with final authorisation of patient files. -...
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...
Clinical Group Patient Administration Manager- Africa Healthcare Head Office View All Careers Posted: , Closing: Location: Gauteng, Roodepoort A vacancy exists for a Clinical Group Patient Administration Manager at Africa Healthcare Head Office, reporting to the Chief Financial Officer . The purpose of this position is to manage and to support the hospitals in implementing sustainable...
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. -...
Minimum Requirements - Matric (Grade 12) essential - Relevant qualification in Finance, Accounting, or Credit Management (advantageous) - 24 years experience in credit control, billing, or claims administration - Experience using accounting systems (e.g. Sage, Pastel, Xero, SAP advantageous) - Strong understanding of VAT and basic accounting principles - Working knowledge of ICD-10 coding,...
Position: Specialist Authorisation Agent Location: Centurion, Gauteng Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meet the requirements of clinical appropriateness, medical necessity and clinical risk management. Experience: 2 to 5 years’ solid experience within a medical aid administration environment. Qualifications: Grade 12 and relevant tertiary...
Job Title: Case Manager (Registered Nurse) Reference: PE000174-HP -2 The hiring organisation offers a minimum six-month fixed term contract opportunity to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based in Port Elizabeth, EC but the possibility exists of a candidate being based in Durban, Bellville or Centurion. Roles and...