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Together with our client we are recruiting for Case Manager in Pretoria. The Candidate must be a Registered Nurse with SANC and have at least two years’ experience after registration as case manager. Previous experience working at a Medical Scheme would be an advantage.Duties and Responsibilities • Plan and optimize daily tasks to update cases on the hospital list within the 8 hours turnaround time.• Following up on long term and high cost cases of hospitalised and home care patients.• Identify the need for patient and hospital visits where possible and give documented feedback.• Follow the escalation process for the referral of cases that require input from management or the medical advisor.• Managing telephonic calls and enquiries from all client and service provides.• Co-ordinating services and care from which a member will benefit to prevent re-admissions and complications.• Negotiations within the scheme rules regarding tariffs and discounts.• Identifying hospitalised members for transfer to rehabilitation, sub-acute and private nursing facilities, for quality cost effective services.• Initiate discharge planning early in hospital admission.• Inform family regarding short term medical benefit and educate them regarding general care exclusion.• Communicate with relevant parties about the discharge plan and benefits.• Document all phone call made to relevant parties.• Complete and document all relevant information.• Communicate clinical funding recommendations via hospital authorisation notes to doctor, member, suppliers and service providers.• Identify and manage complicated and high cost cases that have a financial impact on the schemeJob requirements • Grade 12.• A completed degree or diploma as a Registered Nursing and must be registered with SANC.• Two (2) years’ experiences in Managed Healthcare.• Must possesses knowledge of the following:• ICD-10 & CPT coding;- Medical scheme’s rules;- ERP;- Workflow;- CAM• Computer literate in MS Office.• Must have a K53 driving license.Must possess the following skills: • Customer focus;• Good verbal and written English communication skills as well as proficiency in understanding Afrikaans spoken and written communication.• Teamwork;• Negotiation skills;• Decision making;• Must be able to function under stress.Salary • R334 194 - R420 000 CTC per AnnumBenefits • Pension Fund• 13th cheque• Medical AidOnly candidates who meet all the requirements stipulated in this advert, will be considered. If you don’t receive feedback from us within 2 weeks of your application, please consider your application as unsuccessful. https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA5XzcwODc0X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1179948&xid=1109_70874

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German-speaking Safari Experience Expert

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Our progressive company is seeking an experienced, passionate, and professional Safari Experience Sales and Customer Service Agent to join our team. As a Safari Experience Sales and Customer Service Agent, you will be responsible for responding to customer enquiries and providing exceptional customer service in English and German-speaking markets. You will use your excellent communication and written skills to provide engaging and persuasive descriptions of our safari experiences to attract and retain customers. Key Responsibilities: Respond to customer enquiries and provide exceptional customer service via phone, email, and other channelsProvide customers with accurate and detailed information about our safari experiences, including pricing, availability, and itinerary detailsAssist customers in making reservations and booking their safari experiencesMaintain accurate records of customer interactions and transactions, including booking and payment informationCollaborate with other team members to ensure smooth operations and effective customer communicationFollow up with customers post-safari to ensure their satisfaction and encourage them to provide feedbackProvide input and feedback to the marketing team on customer preferences and trends to help improve marketing efforts Requirements: At least 3 years of experience in sales or customer service, with a good knowledge of safaris in Southern AfricaNative or fluent in English and German, with excellent written and verbal communication skills in both languagesPassionate about wildlife and safari experiences, with a deep understanding of the target markets and customer preferencesStrong organizational skills and attention to detailAbility to work in a fast-paced, dynamic environment and handle multiple tasks simultaneouslyWillingness to travel to different locations to experience our safari offerings and effectively communicate them to customers If you meet these requirements and are excited about the opportunity to join our dynamic team, please submit your resume and cover letter for consideration. Work Place: Wynberg, CPT - We believe it is important to be in the office to maintain company culture, a sense of belonging, keep up to speed on happenings, and to feel connected. You will however, be measured on performance / KPI’s and not on your hours in the office. https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8xMzY1NTA2NjQ/c291cmNlPWd1bXRyZWU=&jid=1514290&xid=136550664

Higgovale

Hospital Clinical Coder ( Advanced ICD 10 and CPT

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Hospital Clinical Coder Location: Cape Town South Africa A private hospital based in Cape Town and Johannesburg is seeking to employ a Hospital Advanced Clinical Coder. The core purpose of the role is to ensure the accurate clinical coding of patient accounts. Key responsibilities: Liaison with patients, medical doctors, and medical schemes to provide updated clinical coding in relation to the patient response to treatment to receive appropriate fund reimbursement from the medical schemes.Assessment of patient clinical statements and the conversion of the information to ICD 10 and CPT coding on the patient account. Key requirements: Registered Nursing Diploma with current SANC RegistrationAdvanced Certificate in ICD-10 Coding (Essential)Advanced Certificate in Complete CPT preferredThorough understanding of CPT and ICD 10 coding standardsMinimum of 3 years’ experience within Clinical Coding in a private hospital or managed care environmentIntermediate to Advanced PC Literacy Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy @ letslink.co.za or to contact Gary on +27(0)110261907 Correspondence will only be conducted with short listed candidates. Should you not hear from us within 7 days, please consider your application unsuccessful. Please view our website: www. letslink .co.za By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent. If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will immediately destroy your personal information in a secure manner. https://www.ditto.jobs/job/gumtree/3728582013?source=gumtree

Higgovale

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Description Project Coordinator Description We have a vacancy for a Project Coordinator. Our client is a training and education provider recognized for innovation in design and excellence in delivery. The role involves Reporting, Seta Responsibilities, Assessments, Training Co-ordination and Administration to become part of the delivery teams that are responsible for the successful coordination of learning interventions from registration to graduation.Responsibility:Your key performance areas will include but not be limited to the specifications below: Reporting: • Capture relevant information onto LMIS • Compile and distribute learner feedback reports to relevant stakeholders • Compile and distribute monthly progress reports to learners SETA Responsibilities: • Registration of learners onto the relevant SETA Management Information Systems (MIS) • Upload credits onto the relevant SETA MIS as and when competency is achieved • Ensure that learners are terminations or extension are processed when required Assessments: • Monitor and track formative and summative learner assessments • Prepare portfolio of evidence files for moderation • Ensure that assessment timelines are always adhered to Training co-ordination: • Co-ordinate training interventions (online and/or face to face) • Prepare and collate training material timeously • Ensure travel arrangements are coordinated in line with the client specifications Administration • Prepare learning material (print, bind and courier when applicable) • Data capturing of intakes into relevant systems • File and archive portfolios of evidence • Scan and upload relevant documentation onto the share drive and LMIS Minimum Requirements: • Matric / NQF equivalent is essential • A relevant tertiary qualification in Office Management, Business Administration or Learning and Development would be advantageous • Previous work experience within an academic environment • A valid driver’s license and be willing to travel • Highly systematic and organized • Ability to plan and schedule detailed projects professionally • Intermediate MS word and MS Excel Skills • Ensure that training interventions are coordinated and delivered in line with company objectives • Ability to work independently and use own initiative • Manage project expenditure within agreed budget limits • Ability to work effectively under pressure and meet deadlines • Build and maintain learner and client relationships and ensure effective communication • A strong sense of accountability and work ethic • High level of accuracy and attention to detail • Excellent communication (written and verbal) and interpersonal skills • Effective problem solving ability Salary - Basic Salary will depend on experience Undertakings - Criminal and Credit Check Application Process: Online applications will receive preference, don’t forget to include a head and shoulder photograph, alternatively e-mail CV’s to cape1@workafrica.co.za using “Project Coordinator CPT ” in the subject heading of your application. If you don’t hear from us within 2 weeks, please consider your application unsuccessful.Job Reference #: PCConsultant Name: Rafeeqah Tofie

Bellville

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Our client is seeking to employ an Administration Manager. The successful candidate will be responsible for the overall management of the Administration area in the hospital. The incumbent will also be responsible for ensuring admissions and discharge of patients is done in a professional, friendly, and timeous manner as well as creating and maintaining a goodwill with doctors and liaison with nursing staff regarding bed bookings. Minimum Requirements to apply: Education: Grade 12 or equivalent NQF level 4 qualificationsA tertiary qualification in Administration or Office Management or related.Enrolled Nurse or Registered Nurse qualification and advantageICD10 / CPT coding qualification an advantage Work Experience: Minimum of 3 to 4 years’ relevant experience managerial position would be advantageousPrivate Hospital experience essentialCase Management experienceICD10 / CPT coding experience Knowledge: Ensure staff admit patients in a professional, orderly manner and appropriate information is recordedEnsure staff collect deposits and surcharges where applicableLiaise with doctors and related departments regarding Theatre List and diagnosisLiaise with nursing staff regarding bed bookingsEnsure confirmations is obtained regularlyCompliance with Group Admin Policy and ProceduresEnsure staff discharge patients in a professional, orderly mannerEnsure staff collect outstanding monies due by private patients and co-payments for medical aid or insurer patients where applicableEnsure correct procedures are always followed by staffOversee and streamline billing and collections processesMonth-end closing of the billing group information, billing planning and implementationEnsure adequate turn-around times are maintainedEnsure DNFB report is maintained and at an acceptable levelPlan and implement quality assurance for all processesPersonnel development and staff meetingsKnowledge of Medical Aids and the NHN Billing and Tariff GuidelineStaffing discussions and planning/interviewsAssist with the implementation of a new billing systemOversee the case management functionManage the hospital private and foreign credit control processManage the Workmen Compensation Fund and Road Accident Fund document control processEnsure cases are updated, appropriated as per agreements with medical aidOversee the management of the driversActively participate as a member of a team to achieve goalsWork with management and staff in other department to achieve company goals and streamline processesActive inv... https://www.ditto.jobs/job/gumtree/3964800187?source=gumtree

Bloemfontein

Hospital Clinical Coder (ICD 10 and CPT Coding)

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Hospital Clinical Coder Location: Randburg Johannesburg South Africa A private hospital based in Randburg is seeking to employ a Hospital Clinical Coder. The core purpose of the role is to ensure the accurate clinical coding of patient accounts. Key responsibilities: Liaison with patients, medical doctors, and medical schemes to provide updated clinical coding in relation to the patient response to treatment to receive appropriate fund reimbursement from the medical schemesAssessment of patient clinical statements and the conversion of the information to ICD 10 and CPT coding on the patient account Key requirements: Registered Nursing Diploma with current SANC RegistrationAdvanced Certificate in ICD-10 Coding (Essential)Advanced Certificate in Complete CPT preferredThorough understanding of CPT and ICD 10 coding standardsMinimum of 3 years’ experience within Clinical Coding in a private hospital or managed care environmentIntermediate to Advanced PC Literacy Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy@letslink.co.za or to contact Gary on +27(0)110261907 Correspondence will only be conducted with short listed candidates. Should you not hear from us within 7 days, please consider your application unsuccessful. LetsLink offers a referral reward of R1000 for any candidate that is referred and placed through LetsLink, terms and conditions apply. Please view our website: www.letslink.co.za By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent. If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will immediately destroy your personal information in a secure manner. https://www.ditto.jobs/job/gumtree/1881291136?source=gumtree

Windsor East

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LetsLink recruitment is currently seeking a highly motivated and experienced Pharmacy Case Manager to work for a private hospital in Johannesburg. As the Case Manager, you will be responsible for liaising between patients, treating clinicians, and medical aids to ensure accurate and comprehensive documentation of patients hospital stays. Your role will also involve applying clinical knowledge to manage patient risk in terms of length of stay, level of care, and medical aid benefits. Key Responsibilities: Apply clinical knowledge to manage patient riskProvide appropriate clinical information to medical aidsCode all patients with ICD10 and CPT4 codesAccompany Managed Care Organisation Case Managers on ward roundsAssist with final authorization of patient filesControl costs for patientsConsult with all service suppliers regarding treatment and phone for patientsFacilitate with transfer of patients to Rehab or step-down facilitiesUpdate all relevant details on Adclin InfoSupply all details regarding patients history, etc. to clinical partnersAssist with case management of all medical aid patientsDaily liaison and communication with Medical Schemes, Hospital Nursing staff, and medical practitioners Requirements: Diploma or Degree in Nursing and registered with the SANCGrade 12/MatricExperience in ICD 10 and CPT 4 codingIntensive Care Nursing experience is an advantageHospital Case Management is an advantageMinimum 3 years nursing experience in a multidisciplinary hospital environmentKnowledge of Managed Healthcare policies and proceduresGeneral administrative skillsComputer literate If you meet the qualifications and are interested in this exciting opportunity, please submit your application today to vacancy at letslink dot co dot za or contact Gary on 011 0261907 Please view our website: letslink dot co dot za and contact Gary. Closing date of 28.04.2023. By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent. If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure... https://www.ditto.jobs/job/gumtree/2873522087?source=gumtree

Johannesburg CBD

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LetsLink recruitment is currently seeking for a Pharmacy Case Manager to work at a private hospital in Gqeberha. The successful candidate will be responsible for liaising between patients and medical aids to ensure payment for hospital services. Key Responsibilities: Ensure accurate and up-to-date information is entered into the Hospital Billing SystemProvide patient history details to clinical partnersMonitor and control costs for managed care patientsConfirm length of stay for managed care patientsParticipate in ward rounds to collect clinical information and provide updates to fundersRelease patient filesEnsure correct coding (ICD and CPT) for all managed care patientsAssist the Hospital Clinical Coder with clinical information to ensure accurate codingConsult with relevant service providers regarding patient care treatmentAssist with patient transfers to rehab hospitals or step-down facilitiesLiaise with internal and external stakeholders to maintain managed care for patientsParticipate in in-service training provided by the organizationMaintain a satisfactory level of skill and knowledge through professional developmentWork collaboratively with others to establish and maintain good working relationshipsActively participate as a member of a team to achieve goalsMaintain professional flexibility in working hours while supporting daily business hoursReview accounts for short payments/Debt pack Requirements: Registered or Enrolled Nurse qualification or equivalent NQF level 4Computer literacyMust be registered with the SANC or professional bodyPrevious hospital or medical scheme case management experience is advantageousExperience in IDC 10 and CPT coding is advantageousMinimum of 3 to 4 years of experience in a multidisciplinary environmentAbility to develop and maintain clinical knowledgeKnowledge of case management skills and expertiseFamiliarity with nursing and pharmacy policies and proceduresUnderstanding of managed healthcare experienceICD 10 and CCSA coding experience/qualification If you are passionate about nursing and looking for an opportunity to take on a challenging role in a dynamic and growing organization, we would like to hear from you. Please submit your CV to vacancy at letslink dot co dot za or contact Gary on 011 0261907. Please view our website: letslink dot co dot za and contact Gary. Closing date: 20 April 2023 By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be s... https://www.ditto.jobs/job/gumtree/3178728958?source=gumtree

Despatch

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LetsLink is assisting a Private Hospital based in Centurion to employ a Billings Manager. The incumbent will be responsible for the financial risk management of the hospital, by ensuring accurate and timeous billing of all patient accounts. The incumbent will do so by managing the Case Managers, File Assessors and the Confirmations Staff. The Billings Manager will also be responsible for ensuring effective patient liaison and dispute resolution. Key accountabilities and responsibilities: Ensure effective patient liaison and dispute resolutionEnsuring daily, weekly and monthly tasks as per Billing Manager level of task documentMonitoring and maintenance of the DNYB and delayed weightingMonitoring and maintenance of PIP casesMonitoring and maintenance of high cost medication as per policyMonitoring and maintenance of claim rejectionsMaintain set targets as indicated on the BSCMonitoring and reporting on MHC varianceMonitoring of ADCLIN system to ensure clinical appropriatenessEnsure accuracy of ICD 10 AND CPT 4 codingAnalysis of billing errors with appropriate action plansManagement of ARS and other contracts and associated reportingEnsuring SOP’s are up to dateEffective management of cancelled casesManage results on all auditsImplement changes effectivelyMotivation of system enhancements and adaptationsManage credit control queries as per communication policyEnsure effective communication and follow through with medical aidsManage associated administrative tasksAssist with any other duties assigned by the Pharmacy Manager from time to timeAssume responsibility for own personal and professional developmentKeep up to date with the hospitals evolving policies and procedures Skills Required: Grade 12 or Equivalent NQF Level 4 qualifications Qualified Registered Nurse registered with SANC3-5 years experience in a similar roleAdvanced computer literacy Sound knowledge of Private Hospital Pharmacy business operations Sound knowledge of medical/healthcare billings and tariff guidelinesApplication of clinical knowledge in the risk management of patients Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy@letslink.co.za or apply directly through this platform. To learn more, please contact Gary on +27(0)110261907 Please view our website: www.letslink.co.za https://www.ditto.jobs/job/gumtree/3640500707?source=gumtree

City Centre

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Case manager LetsLink recruitment is currently seeking a highly motivated and experienced Case Manager to work for a private hospital in Cape Town. As the Case Manager, you will be responsible for liaising between patients, treating clinicians, and medical aids to ensure accurate and comprehensive documentation of patients hospital stays. Your role will also involve applying clinical knowledge to manage patient risk in terms of length of stay, level of care, and medical aid benefits. Key Responsibilities: Apply clinical knowledge to manage patient riskProvide appropriate clinical information to medical aidsCode all patients with ICD10 and CPT4 codesAccompany Managed Care Organisation Case Managers on ward roundsAssist with final authorization of patient filesControl costs for patientsConsult with all service suppliers regarding treatment and phone for patientsFacilitate with transfer of patients to Rehab or step-down facilitiesUpdate all relevant details on Adclin InfoSupply all details regarding patients history, etc. to clinical partnersAssist with case management of all medical aid patientsDaily liaison and communication with Medical Schemes, Hospital Nursing staff, and medical practitioners Requirements: Diploma or Degree in Nursing and registered with the SANCGrade 12/MatricExperience in ICD 10 and CPT 4 codingIntensive Care Nursing experience is an advantageHospital Case Management is an advantageMinimum 3 years nursing experience in a multidisciplinary hospital environmentKnowledge of Managed Healthcare policies and proceduresGeneral administrative skillsComputer literate If you meet the qualifications and are interested in this exciting opportunity, please submit your application today to vacancy at letslink dot co dot za or contact Gary on 011 0261907 Please view our website: letslink dot co dot za and contact Gary. By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent. If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to y... https://www.ditto.jobs/job/gumtree/140594068?source=gumtree

Higgovale

Medical Receptionist (Dr in Private Practice) - Ra

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LetsLink Recruitment is assisting a Medical Doctor in private practice to employ a Receptionist/Administrator. The doctor is a specialist Psychiatrist. The private practice is situated in a psychiatric clinic that is based in the Randburg area. The successful candidate will have dealings with both patients that are booked into the clinic and patients that are not. The successful candidate must have a good track record of being able to provide excellent patient care, good organisational skills, good attention to detail, be efficient and have excellent communication skills in both written and verbal English. The successful candidate must have 3 or more years of relevant experience. Minimum requirements: Matric (Grade 12) qualification essentialGood Verbal and written English language skills.Own transport is preferable.3 to 5 years relevant experience is essential.Good understanding of the clinical and medical environment in private practice.ICD 10 and CPT coding experience is essential.Healthbridge Medical Billing software experience is essential.Experience in working with medical aid companies.Work flexible hours especially in the case of an emergency. Closing date: 7 February 2023 Salary range: Market related. Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy (at sign) letslink. co. za or to contact Colleen on +27(0)110261907. Please view our website: www.letslink. co. za By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent. If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate so and your information will be immediately destroyed in a secure manner. https://www.ditto.jobs/job/gumtree/3282766811?source=gumtree

Johannesburg CBD

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"jobs requiring no experience cpt" in South Africa

jobs requiring no experience cpt in South Africa (83 results)

Results for jobs requiring no experience cpt in All Categories in South Africa