Please note that our Terms of Use and Privacy Notice are applicable.
On Promotion in Jobs
Filter & refine
Clear All
Suggested
Results for medical aid schemes in Jobs in KwaZulu-Natal
SavedSave
An employment opportunity exists
at Eden Gardens Private Hospital for a Billing
Clerk (Final Billing), reporting to Finance Manager. The successful
candidate will be responsible for the final billing and submission/release of
all patient files to the different funders.
Key Responsibilities
·
Application of ICD 10 codes,
CPT codes, all
medical aid tariffs and
billing rules (in line
with the NHN billing
guide).
·
Daily billing on all in and outpatient accounts (LOC, equipment and stock).
·
Timeous closure and release of discharged patient
accounts.
·
Monitor receiving of discharged files
and report delay
trends.
·
Final audit of all patient
accounts prior to release.
·
Monitor release system
to ensure complete submission.
·
Liaise with Case Managers, Ward staff, Pharmacy and Theatre to obtain correct CPT codes, stock codes, equipment details, theatre
time, type of procedure, anaesthetic gasses, etc.
·
Ensure regular and
effective communication with
all members of the multi-disciplinary team.
·
Ensure complete and efficient billing
of all patient accounts requiring prosthesis.
Identify risk areas and give feedback to Management.
Minimum Requirements
·
Grade 12 or equivalent qualification
·
Previous experience in a Billing department essential
·
Private healthcare industry knowledge and an understanding of Medical Scheme
rules and regulations is
important
·
ICD 10 – coding knowledge
·
Knowledge of Hospital Information System
·
A nursing qualification will be an added advantage
·
SAP experience will be ad added advantage
·
Experience with billing under NHN guidelines will be an added advantage
Computer proficiency.
Closing date:
Interested
candidates who meet the minimum requirements are invited to apply by forwarding
a comprehensive CV by close of business on 02nd of May 2024 by Email: Recruitment@edengph.co.za:
Tel: 0338154600.
Eden Gardens Private Hospital is an equal opportunity employer,
external candidates will also be considered.
Only shortlisted candidates will be contacted, should you not
receive any communication after 2 weeks of closing date kindly consider your
application as unsuccessful.
4d
SavedSave
An opportunity exists for a Collections Clerk at Eden Gardens Private Hospital reporting to
the Finance Manager. The successful candidate
will be responsible for the maximum collection of amounts overdue from
various funders and patients.
Key Responsibilities
·
Management of
outstanding and unpaid debt and the collection thereof for Medical Aid Claims
and Private Patients Collection of outstanding debt.
·
Ensure that monthly
statement run is completed for all outstanding accounts, i.e., the debtor
(patient) must receive a monthly update in respect of his/her outstanding
balance irrespective of the medical aid liability.
·
Patients are
accurately identified and traced for collection of debt.
·
Ensure that all
medical aid claims are submitted within the regulated time frame in respect
of the Medical Schemes Act and that any rejections are promptly dealt with in
the regulated time frame.
·
Negotiate payment
terms and methods with patients.
·
Making sure that
accounts do not become stale.
·
Hand over accounts to the
private debt collector for collections timeously and in line with the
company’s internal regulations in respect of such accounts.
·
Ensure that payment
arrangements and estate accounts are handed over to the private debt
collector for management timeously and in line with the company’s internal
regulations in respect of such accounts.
·
Accurately record the
collection status and relevant collection notes for each account on SAP.
·
Effectively manage the
outstanding debt to prevent bad debt write-offs, medical aid stale claims,
and prescription of debt.
·
Debtor and Medical Aid
Claim Liaison Communicate with debtor’s medical aid officials by telephone
and/ or written correspondence to attempt to collect urgent payment of
outstanding accounts.
Provide thorough, efficient, and accurate
updates on medical aid payment processes to the debtors.
Minimum Requirements
·
Grade
12 or equivalent NQF Level 4 qualification.
·
2
years’ experience in a similar role in healthcare.
·
Computer
proficient.
·
Closing
date: 02 May 2024
Interested candidates who meet the minimum
requirements are invited to apply by forwarding a comprehensive CV by close
of business on to Email: Recruitment@edengph.co.za:
Tel: 0338154600
Eden Gardens
Private Hospital is an equal opportunity employer, external candidates will
also be considered. Only shortlisted candidates will be contacted, should you
not receive any communication after 2 weeks of closing date kindly consider
your application as unsuccessful.
4d
1
SavedSave
The Role: Responsibilities: Loading/checking/updating cases on internal client relationship systems (DCP and BIAS), including new activations and terminations, queries and underwritingFlexi care activations each monthSubmit Terminations each week and monthEnsure that all membership movements are implemented on the monthly billingRespond to member queries where necessaryWork through induction packs each month and identify member applications for medical aidSubmitting medical aid applications to the schemes and follow ups.Cross check terminations with activations each week and monthAssist with provident fund withdrawal claims, ensuring all documentation is complete prior to submission for Admin Department â?? main claims processing function being done in JHB officeFollowing up regularly on the progress of the claim in accordance to provider timelinesIf there is outstanding information from client HR/member, follow up on a regular basis until the documentation is received and submitted to the providerDelays on claims to be escalated to managedFull understanding of the clients benefits and rates per providerSkills and Experience: Essential Qualifications: 3 to 5 years medical aid experience â?? either in Medical Aid Administrator or with an FSP â?? with relevant training certificates Preferred Qualifications: 3 to 5 years medical aid experienceNQF Level 5 REFAIS Experience required: Minimum 3 to 5 yearsâ?? experience in medical scheme membership administrationProficient in advanced Excel, Outlook, internal systems and team expectationsKnowledge of employee benefits structures (Pension, Provident, Life cover Disability Benefits), FICA, FAIS and TCF â?? a bonus to haveFull understanding of medical aids and employee benefits, requirements, timelines, and processesOther: Work environment: Business Support - Performs a professional specialised support function in office and at client sites, including clerical / administrative support. Works within established procedures. Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures and makes sound decisions.
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA4XzQ1NTM3X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1149998&xid=1108_45537
2y
1
ESSENTIAL FUNCTIONSLoading/checking/updating cases on internal client relationship systems (DCP and BIAS), including new activations and terminations, queries and underwritingFlexi care activations each monthSubmit Terminations each week and monthEnsure that all membership movements are implemented on the monthly billingRespond to member queries where necessaryWork through induction packs each month and identify member applications for medical aidSubmitting medical aid applications to the schemes and follow upsCross check terminations with activations each week and monthAssist with provident fund withdrawal claims, ensuring all documentation is complete prior to submission for Admin Department main claims processing function being done in JHB officeFollowing up regularly on the progress of the claim in accordance to provider timelinesIf there is outstanding information from client HR/member, follow up on a regular basis until the documentation is received and submitted to the providerDelays on claims to be escalated to managedFull understanding of the clients benefits and rates per providerSpecial projectsEXPERIENCE REQUIREDMinimum 3 to 5 years experience in medical scheme membership administrationProficient in advanced Excel, Outlook, internal systems and team expectationsKnowledge of employee benefits structures (Pension, Provident, Life cover Disability Benefits), FICA, FAIS and TCF a bonus to haveFull understanding of medical aids and employee benefits, requirements, timelines, and processesWORK ENVIRONMENTBusiness Support - Performs a professional specialised support function in office and at client sites, including clerical / administrative support. May require vocational training or the equivalent experience.Category 3: Has working knowledge and skills developed through formal training or work experience. Works within established procedures with a moderate degree of supervision. Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures and makes sound decisionsEssential Qualifications: 3 to 5 years medical aid experience either in Medical Aid Administrator or with an FSP with relevant training certificates Preferred Qualifications: 3 to 5 years medical aid experienceNQF Level 5 REFAIS
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA5XzYyNzA5X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1148966&xid=1109_62709
2y
1
ESSENTIAL FUNCTIONSLoading/checking/updating cases on internal client relationship systems (DCP and BIAS), including new activations and terminations, queries and underwritingFlexi care activations each monthSubmit Terminations each week and monthEnsure that all membership movements are implemented on the monthly billingRespond to member queries where necessaryWork through induction packs each month and identify member applications for medical aidSubmitting medical aid applications to the schemes and follow upsCross check terminations with activations each week and monthAssist with provident fund withdrawal claims, ensuring all documentation is complete prior to submission for Admin Department main claims processing function being done in JHB officeFollowing up regularly on the progress of the claim in accordance to provider timelinesIf there is outstanding information from client HR/member, follow up on a regular basis until the documentation is received and submitted to the providerDelays on claims to be escalated to managedFull understanding of the clients benefits and rates per providerSpecial projectsEXPERIENCE REQUIREDMinimum 3 to 5 years experience in medical scheme membership administrationProficient in advanced Excel, Outlook, internal systems and team expectationsKnowledge of employee benefits structures (Pension, Provident, Life cover Disability Benefits), FICA, FAIS and TCF a bonus to haveFull understanding of medical aids and employee benefits, requirements, timelines, and processesWORK ENVIRONMENTBusiness Support - Performs a professional specialised support function in office and at client sites, including clerical / administrative support. May require vocational training or the equivalent experience.Category 3: Has working knowledge and skills developed through formal training or work experience. Works within established procedures with a moderate degree of supervision. Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures and makes sound decisions.QUALIFICATIONEssential Qualifications: 3 to 5 years medical aid experience either in Medical Aid Administrator or with an FSP with relevant training certificatesQUALIFICATION AND EXPERIENCEPreferred Qualifications: 3 to 5 years medical aid experienceNQF Level 5 REFAIS
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA5Xzc2MTA2X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1195225&xid=1109_76106
2y
1
ESSENTIAL FUNCTIONSLoading/checking/updating cases on internal client relationship systems (DCP and BIAS), including new activations and terminations, queries and underwritingFlexi care activations each monthSubmit Terminations each week and monthEnsure that all membership movements are implemented on the monthly billingRespond to member queries where necessaryWork through induction packs each month and identify member applications for medical aidSubmitting medical aid applications to the schemes and follow upsCross check terminations with activations each week and monthAssist with provident fund withdrawal claims, ensuring all documentation is complete prior to submission for Admin Department main claims processing function being done in JHB officeFollowing up regularly on the progress of the claim in accordance to provider timelinesIf there is outstanding information from client HR/member, follow up on a regular basis until the documentation is received and submitted to the providerDelays on claims to be escalated to managedFull understanding of the clients benefits and rates per providerSpecial projectsEXPERIENCE REQUIREDMinimum 3 to 5 years experience in medical scheme membership administrationProficient in advanced Excel, Outlook, internal systems and team expectationsKnowledge of employee benefits structures (Pension, Provident, Life cover Disability Benefits), FICA, FAIS and TCF a bonus to haveFull understanding of medical aids and employee benefits, requirements, timelines, and processesWORK ENVIRONMENTBusiness Support - Performs a professional specialised support function in office and at client sites, including clerical / administrative support. May require vocational training or the equivalent experience.Category 3: Has working knowledge and skills developed through formal training or work experience. Works within established procedures with a moderate degree of supervision. Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures and makes sound decisions.QUALIFICATIONEssential Qualifications: 3 to 5 years medical aid experience either in Medical Aid Administrator or with an FSP with relevant training certificatesQUALIFICATION AND EXPERIENCEPreferred Qualifications: 3 to 5 years medical aid experienceNQF Level 5 REFAIS
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA5Xzc2MTA2X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1195225&xid=1109_76106
2y
Ads in other locations
1
SavedSave
KEY ACCOUNTS MANAGERQualifications and Experience:Essential: Matric or an equivalent Senior Certificate.Degree in Sales and Marketing or a related fieldAdvantage: Postgraduate qualification in Commerce orPharmacyACCOUNT MANAGEMENT: Establish and maintain strong working relationships with medical aid organizations, including insurers, managed care organizations, and third-party administrators. Serve as the main point of contact for medical aid organizations, proactively engage in regular communication and build trust. Collaborate with medical aid representatives to negotiate contracts, pricing agreements, and reimbursement terms that align with the pharmacy groups objectives. Facilitate effective communication between the pharmacy group and medical aid organizations, ensure accurate and timely exchange of information. Act as a liaison to resolve any issues or concerns raised by medical aid organizations, coordinate with relevant departments within the pharmacy group to address them promptly. Provide regular updates to both internal and external stakeholders regarding changes in medical aid policies, formulary updates, and other relevant information. Identify growth opportunities within assigned accounts and develop strategies to capitalize on them.FORMULARY MANAGEMENT: Work closely with medical aid organizations to understand their formulary requirements and ensure the pharmacy groups compliance with those guidelines. Collaborate with pharmacy and clinical teams to ensure that the pharmacy groups product offerings align with the medical aid organizations preferred drug lists. Assist in the development and implementation of strategies to maximize formulary access and reimbursement for the pharmacy groups products.STAKEHOLDER LIAISON Build and nurture strong relationships with key decision-makers within medical schemes and healthcare organizations. Act as the primary point of contact for key accounts, addressing their needs, resolving issues, and ensuring customer satisfaction.PERFORMANCE MONITORING AND REPORTING: Monitor and evaluate the pharmacy groups performance with medical aid organizations, including key performance indicators (KPIs) such as claims processing, medication adherence, and patient satisfaction. Generate reports and analyze data to identify trends, opportunities, and areas for improvement. Present findings and recommendations to internal stakeholders and medical aid organizations to optimize operational processes and enhance patient outcomes. Stay updated on industry trends, market conditions, and competitor activities to proactively identify new business opportunitiesGENERAL: Adhere to Dis-Chem Policies and Standard Operating Procedures. Adhere to Health and Safety rules and regulations.
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA4XzE3NzI5NF9fNDk3P3V0bV9zb3VyY2U9Z3VtdHJlZSZ1dG1fbWVkaXVtPWZlZWQma2V5d29yZD0=&jid=1776715&xid=1108_177294
3h
1
SavedSave
Claims Administrator Temp - Johannesburg LetsLink Medical Recruitment Agency is assisting one of the leading health insurance product providers in South Africa to recruit a Claims Administrator on a temporary bases.Requirements: MatricFAIS Compliant (RE5 & Qualification are a pre-requisite)Customer service certificateSkills and experience: At least 2 years’ gap cover or medical claims experience.Technical knowledge on various health insurance products.Knowledge of ICD Codes , medical procedures, and medical aid schemes.Understanding of PMB legislation in conjunction with Gap Cover.Sound computer skills - Microsoft Office a must.Excellent customer service skills.Takes ownership and responsibility.Ability to work in a team with minimal supervision.Pays attention to detail.Excellent analytical skills.Ability to handle pressure - always remain calm, friendly, courteous, polite, professional, and willing to assist.Location: GautengClosing date: 29 April 2022
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA4XzYzMDc5X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1221772&xid=1108_63079
2y
1
FACULTY OF VETERINARY SCIENCE
ONDERSTEPOORT VETERINARY ACADEMIC HOSPITAL
FIRST VETERINARY NURSE: OVAH EQUINE CLINIC
PEROMNES POST LEVEL 9
RESPONSIBILITIES:
The incumbent will be responsible for:
* Performing excellent patient care and handling;
* Clinic administration (record keeping, hygiene, stock control, care of equipment, safety measures etc.);
* Supervising personnel;
* Administering and monitoring of sedation and assist with monitoring of anaesthesia;
* Assist with emergency procedures;
* Communicating with patient owners;
* Demonstrating techniques to and instructing students and student nurses and evaluating student nurses’ performance
* Training and guiding own team;
* Performing relief duties in other sections in the OVAH;
* Performing shift duties
*CLOSING DATE: 01 April 2022*
No application will be considered after the closing date, or if it does not comply with at least the minimum requirements.
* Diploma in Veterinary Nursing (DipCurAnim or Dip Vet Nursing) or equivalent;
* Registration with the South African Veterinary Council;
* Two years’ experience in veterinary nursing and clinic management
REQUIRED COMPETENCIES (SKILLS, KNOWLEDGE AND BEHAVIOURAL ATTRIBUTES):
* Knowledge of nursing procedures, biosecurity measures and procedures and handling of animals
* Meticulous about detail, professional and a responsible person;
* Appropriate language and communication skills;
* Organizing skills and a strong service orientation;
* Physical mobility;
* Ability to work under pressure and without supervision;
* Computer literacy;
* Ability to work weekends and outside normal working hours when required for continuous service delivery in the hospital.
ADDED ADVANTAGES AND PREFERENCES:
* Previous and/or current experience of equine nursing procedures and handling of horses.
* Previous and/or current experience of one year or more in a high pressure emergency clinic environment where patients are triaged and multiple emergency procedures take place simultaneously, will be an advantage
The annual remuneration package will be commensurate with the incumbent’s level of appointment, as determined by UP policy guidelines. UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
* Diploma in Veterinary Nursing (DipCurAnim or Dip Vet Nursing) or equivalent;
* Registration with the South African Veterinary Council;
* Two years’ experience in veterinary nursing and clinic management
REQUIRED COMPETENCIES (SKILLS, KNOWLEDGE AND BEHAVIOURAL ATTRIBUTES):
* Knowledge of nursing procedures, biosecurity measures and procedures and handling of animals
* Meticulous about detail, professional and a responsible person;
* Appropriate language and communication skills;
* Organizing skills and a strong service orientation;
* Physical mobility;
* Ability to work
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xNTU1XzI1NjI0X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1190014&xid=1555_25624
2y
1
SavedSave
Medical Aid company seeks the expertise of a BI Business Analyst to join their team in Pretoria.
* Liaise with stakeholders regarding their business intelligence needs and audit data requests.
* Extract data from the data warehouse to provide to Internal Audit in order to perform internal audit testing and total quality management studies.
* Conduct data and statistical analyses and develop ad hoc predictive models in order to identify potential fraud, waste and abuse as well as areas of improvement as identified by the Total Quality Management division.
* Perform segment analyses, clustering techniques and machine learning techniques in order to identify anomalous trends/patterns in claiming behaviour.
* Present data and statistical analyses in a manner that is agreeable, measurable and accommodating of stakeholders’ needs.
* Provide general support to business units with data request and analyses, including deep dive investigations on claims and membership behaviour and financial results/statistics.
* Set testing procedure guidelines and ensure that proper testing procedures are in place.
* Coordinate test procedures for all Business Intelligence systems according to business requirements.
* Develop and enhance monthly tests to ensure the warehouse and mainframe data correspond.
* Liaise with development departments to ensure system changes that impact on the data warehouse are identified and addressed.
* Ensure adherence to legislative and regulatory prescripts.
* Ensure constant operational efficiency through innovation within area under control.
Qualifications:
* B.Sc./B.Com. Degree in Mathematics, Actuarial Science, Applied Mathematics, Informatics or Data Science.
Technical Skills:
* ISQL
* BI delivery tools (Cognos, Power BI, QlickView, etc.)
* ETL tools (DataStage, SSIS, Informatics, etc.)
Experience:
* Five years’ relevant experience in a business intelligence (BI) environment, of which three years’ should be BI experience in user requirement analysis, programming in ISQL and implementing BI solutions.
Must possess knowledge of the following:
* Medical Schemes Act and Regulations
* Cognos products/Power BI
* Microsoft Office products
* Microsoft SQL Server
Basic + Medical Allowance + Housing Allowance + Pension + Performance Bonus
Qualifications:
* B.Sc./B.Com. Degree in Mathematics, Actuarial Science, Applied Mathematics, Informatics or Data Science.
Technical Skills:
* ISQL
* BI delivery tools (Cognos, Power BI, QlickView, etc.)
* ETL tools (DataStage, SSIS, Informatics, etc.)
Experience:
* Five years’ relevant experience in a business intelligence (BI) environment, of which three years’ should be BI experience in user requirement analysis, programming in ISQL and implementing BI solutions.
Must possess knowledge of the following:
* Medical Schemes Act and Regulations
* Cognos products/Power BI
* Mi
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xNTU1XzI1NTQ4X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1189961&xid=1555_25548
2y
1
SavedSave
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
2y
1
Role Overview This job exists to provide the company with efficient and effective HR Services, in line with Service Level Agreements, through the implementation of HR policies, processes, systems and procedures of a statistical and financial nature.Undertaking generalist tasks associated with Remuneration and Benefits management within the organisation. Implement plans and/or programmes to ensure the most effective utilisation of human resources to support the Clients objectives. Key Performance Area Remuneration and Benefits Administration and Communication Oversee and advise HR in terms Organisational Remuneration and Benefits as a Service related to the following aspects but not limited to:Funeral benefitsGroup Risk Insurance benefitsPension Fund AdministrationMedical Aid benefits and Administration.Communication and up skilling of staff relating to the Remuneration and benefits policy.Ensure that remuneration practices follow the Clients policies and regulationsParticipates in the implementation of remuneration and benefits related policies and procedures.Advising and guiding staff in relation to decision outcomes and implementation of remuneration and benefits related matters.Provide information on eligibility for participation in particular benefits programsAdministration of salary reviews, long-term and short-term incentive schemesAdministration of salary surveys and other benchmarking exercisesAdminister benefits campaigns to run throughout the organisation as part of benefits awarenessAdministration of Employee Recognition Awards programmeHR Service Delivery Provide reliable, accurate and timely administrative support to Remuneration and Benefits Administration.Ensures the smooth running of all Benefits schemes including but not limited to Group Risk, Pension Fund as examples and responding to issues raised.Provide Human Resources with salary ranges and guidelines related to Remuneration and Benefits.Governance and Compliance Ensure that controls are in place as set out by the Client and monitor business adherence to the controls.Meet company and statutory requirements governing Benefits Administration requirements by providing all relevant documentation and related advice to employees.Ensure adherence to the organisations Human Capital related policies, processes and procedures.Reporting and Monitoring Collate, create and distribute relevant Remuneration and Benefits information and reports as well as Board packs to Senior Management as required.Policy Review and Implementation Advise and provide guidance to line management on relevant policies, practices and procedures.Assist with the development/refinement of policies and procedures, in line with key areas of responsibility.Assist with HR audit.Project Support Participate in adhoc pr
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMTA5XzcxMjk5X180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1181101&xid=1109_71299
2y
1
SavedSave
One of Africa’s most prominent healthcare management business that specialises in providing medical aid schemes is looking for driven and high calibre Java developers that will be based in the West Rand.The Java developer will be given the opportunity to work remotely up to two days a week with a high degree of flexibility after you have proven yourself.Duties and responsibilities Rewrite of medical scheme desktop systems with Java and Flash BuilderAssisting with conversion and troubleshooting of Sybase stored procedures to DB2 format Requirements Four to seven years’ experience in Java developmentJava (Java server pagers and Java server faces)J2EEJavaScriptWeb servicesSpring 2 and JSF integrated Portal applicationFlash BuilderIBatis Persistence frameworkSybase 12.5 ASETomcat 7Red Hat LinuxWindow Server (Doc Storage)Adobe LifeCycle Designer – PDF GenerationPrime Faces 4 (New Apps)Flex 4 (Mobile development)ZK 6/JSP/XHTMLJSP PresentationJBoss (Lifecycle app server) Qualifications BSc computer scienceNational diploma in ITAny other related qualificationThe reference number for this position is GZ 40163. It’s a permanent position based in Roodepoort offering a salary of R780,000 per annum cost to the company, negotiable based on experience. Contact Garth on garth@e-merge.co.za or call him on 011 463 3633 to discuss this and other opportunities.Are you ready for a change of scenery? E-Merge IT Recruitment is a specialist niche recruitment agency. We offer our candidates options so that we can successfully place the right developers with the right companies in the right roles. Check out the E-Merge website for more great positions.Do you have a friend who is a developer or technology specialist? We pay cash for successful referrals!
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMzIwXzEzODMzX180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1214232&xid=1320_13833
2y
1
SavedSave
Our client is looking for an HR Payroll Administrator to do their full payroll administration duties on salaries and wages.
DUTIES AND RESPONSIBILITIES:
Processing all input data of payroll on SAGE;Clearly understanding the system and administration requirements;Knowing and understanding the company policies for administration and adhere to them;Ensuring that all employees have their files;Ensuring that all limited duration of employment are signed;Ensuring that all core employees have signed a contract of employment as permanent employees;Ensuring that all new employees are having bank accounts and assisting them to open bank accounts if they do not have; Make accurate head counts of employees on SAGE payroll system;Add new employees on SAGE payroll system for the current processing period;Ensure that processing dates on SAGE System are correct;Ensuring that all hours are correctly dated and recorded on SAGE and they are also signed by line manager before payroll;Overseeing that all employees have been paid;Responsible for the SAGE payroll to run smoothly without delays every month;Assist any payroll queries with the payroll manager on time;Print pays-lips on SAGE payroll system and distribute them to line managers for all employees;Conduct audits of wages costs and wages pay out by reconciling monthly costing, checking for duplicates and unallocated wage packets;Ensuring that all annual and sick leaves updated accordingly;Responsible for any changes made on SAGE, medical aid tables received from Medical Aid Scheme;Recommend measures to help protect workers from potentially hazardous work methods, processes, or material;Calculate payroll deductions by accurately using SAGE and process payroll to meet preset requirements;Submit reports on payroll activities for the month;Verify and submit timekeeping information for accurate and efficient payroll processing;Manage payroll data entry and processing for employees to comply with predetermined company guidelines;
REQUIREMENTS:
Proficient in ExcelMust be SAGE Payroll system literateRelevant tertiary qualification (Human Resources, Payroll)MS Office literacy5-10 years experience Must preferably reside Pretoria
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8zNTAwMjQ0ODc5P3NvdXJjZT1ndW10cmVl&jid=1175669&xid=3500244879
5d
1
SavedSave
Claims Administrator - Johannesburg (Part time)
LetsLink Medical Recruitment Agency is assisting one of the leading health insurance product providers to recruit 4 part time Claims Administrators.
Requirements:
MatricRE5 qualification is essentialPrevious Medical Aid Claims experience (Gap Cover Claims an advantage)Start working immediately
Skills and experience:
At least 2 years’ Medial Aid or Gap Cover claims experienceTechnical knowledge on various health insurance products.Knowledge of ICD 10 and CPT Codes, medical procedures, and medical aid schemes.Understanding of PMB legislation in conjunction with Gap Cover.Sound computer skills - Microsoft Office a must.Excellent customer service skills.Takes ownership and responsibility.Ability to work in a team with minimal supervision.Pays attention to detail.Excellent analytical skills.Ability to handle pressure - always remain calm, friendly, courteous, polite, professional, and willing to assist.
Location: Bryanston Johannesburg
Salary: between R12000.00 and R14000.00 per month
Closing date: 18 March 2022
Candidates who meet the relevant requirements must please apply by contacting Gary on 011 0261907 or email a detailed CV to ( vacancy @ letslink. co . za)Please view our website: www. letslink . co . za
https://www.ditto.jobs/job/gumtree/2576237741?source=gumtree
5d
1
SavedSave
Claims Administrator Temp- Johannesburg
LetsLink Medical Recruitment Agency is assisting one of the leading health insurance product providers in South Africa to recruit a Claims Administrator on a temporary bases.
Requirements:
MatricFAIS Compliant (RE5 & Qualification are a pre-requisite)Customer service certificate
Skills and experience:
At least 2 years’ gap cover or medical claims experience.Technical knowledge on various health insurance products.Knowledge of ICD Codes , medical procedures, and medical aid schemes.Understanding of PMB legislation in conjunction with Gap Cover.Sound computer skills - Microsoft Office a must.Excellent customer service skills.Takes ownership and responsibility.Ability to work in a team with minimal supervision.Pays attention to detail.Excellent analytical skills.Ability to handle pressure - always remain calm, friendly, courteous, polite, professional, and willing to assist.
Location: Gauteng
Closing date: 29 April 2022
Candidates who meet the relevant requirements must please apply by contacting Gary on 011 0261907 or email a detailed CV to vacancy @ letslink.co.zaPlease view our website: www. letslink .co.za
https://www.ditto.jobs/job/gumtree/3348600255?source=gumtree
5d
1
Our client is looking for the assistance of Freelance/Temporary Medical Aid Claims Administrator.
The successful candidate must meet the following minimum requirements:
Grade 12 or equivalent qualificationThe suitable candidate must have 2 to 3 years medical aid claims experience.Knowledge if clinical codes e.g. ICD, CPT etc.Knowledge of medical aid schemes and medical aid claims procedures and a good understanding of PMB legislation. Gap cover claims experience is an advantage.Have excellent attention to detail, and good analytical skillsHave good verbal and written business English communication skillsSound computer skills MS OfficeRE 5 certificate is an advantage.
Interested candidates are requested to e-mail a detailed CV to ( Vacancy @ letslink. co. za ) or to contact Gary on +27(0)110261907
Please view our website: 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/1923806163?source=gumtree
5d
1
SavedSave
Claims Administrator - Johannesburg
LetsLink Medical Recruitment Agency is assisting one of the leading health insurance product providers in South Africa to recruit a Claims Administrator.
Requirements:
MatricFAIS Compliant (RE5 & Qualification are a pre-requisite)Customer service certificate
Skills and experience:
At least 2 years’ gap cover or medical claims experience.Technical knowledge on various health insurance products.Knowledge of ICD Codes , medical procedures, and medical aid schemes.Understanding of PMB legislation in conjunction with Gap Cover.Sound computer skills - Microsoft Office a must.Excellent customer service skills.Takes ownership and responsibility.Ability to work in a team with minimal supervision.Pays attention to detail.Excellent analytical skills.Ability to handle pressure - always remain calm, friendly, courteous, polite, professional, and willing to assist.
Location: Gauteng
Closing date: 30 September 2022
Candidates who meet the relevant requirements must please apply by contacting Gary on 011 0261907 or email a detailed CV to vacancy@letslink.co.zaPlease view our website: www.letslink.co.za
https://www.ditto.jobs/job/gumtree/866882812?source=gumtree
5d
1
SavedSave
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
5d
1
SavedSave
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
5d
Save this search and get notified
when new items are posted!
