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Qualified Pharmacist and Pharmacy Assistant urgently required in Soshanguve and Garankuwa area.Kindly email Curriculum Vitae to Letlotlogroup@gmail.com
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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
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Ads in other locations
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LetsLink Medical Recruitment Agency is assisting one of the leading health insurance product providers in South Africa to recruit a Wellness Specialist.
Requirements:
MatricRegistered Pharmacy AssistantValid membership of the South African Pharmacy CouncilClaims and Forensic Risk management certification (will be an advantage)
Skills and experience:
At least 5 years’ experience as a registered Pharmacy Assistant.Sound understanding of the South African Health Industry, benefits, options, etcMIP Application System experience and advantage.Ability to liaise with external parties – clinicians and membersICD codes, modifiers, and RPL tariff knowledge and understanding.Ability to liaise with external parties – clinicians and members.Ability to work within an established team.Excellent oral and written communication skills.Customer-centric attitude.Excellent analytical skills and pays attention to detail.Computer literate - MS Office suite, i.e., Word, Excel.A good understanding of claims risk profiling.Experience in claims auditing.Good understanding of evidence-based medicine principles and embracing health economic principles and tools.A good understanding of the principles of healthcare funding design will be an advantage.
Location: Johannesburg
Closing date: 29 April 2022
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 objec...
https://www.ditto.jobs/job/gumtree/75646236?source=gumtree
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