Confirmations Clerk

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Confirmations Clerk
Location: Mediclinic Hoogland, Bethlehem, South Africa
Employment Type: Permanent, On-site
Closing Date: 09/06/2025
Reference Number: 57459

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Main Purpose:

Minimise financial risk by ensuring proper authorisation and re-authorisation of all patient cases through effective communication with relevant parties.

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Key Responsibilities:

• Obtain authorisation and re-authorisation for all identified patients to ensure claims are fully paid

• Capture data and communicate with all relevant parties

• Identify and refer risk cases to minimise financial risks

• Adhere to clinical coding standards (Level 2 coding)

• Ensure compliance with confirmation procedures, contracts, and legal requirements using available systems and resources

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Required Education:

• Essential: Grade 12 or equivalent

• Desired: None

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Required Experience:

• Essential: None

• Desired: Experience in a clinical environment

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Required Skills and Knowledge:

• Understanding of funder contracts and medical aid requirements

• Familiarity with patient administration systems (AS400)

• Knowledge of rules/regulations regarding funder contracts

• Clinical coding Level 2

• Experience with B2B EMS (electronic messaging system) for authorisations and troubleshooting

• Proficient in Microsoft Office

• Knowledge of relevant statutory acts (Consumer Protection Act, PMB, etc.)

• Patient admin policies and procedures (confidentiality, external case managers, etc.)

• Daily workflow management, deviance handling, coding, and case management

• Ability to identify financial risks such as missing authorisations or insufficient length of stay

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