Confirmations Clerk
Location: Mediclinic Emfuleni, Vanderbijlpark, Emfuleni, South Africa
Reference Number: 62433
Recruiter Name: Nkosazane Khomo
Closing Date: 29 July 2025
Type: Permanent, On-site
Number of Positions: 1
Main Purpose of the Job
To minimise financial risk by ensuring timely authorisation and re-authorisation of patient cases through effective communication and compliance with medical aid, coding, and internal policies.
Key Responsibilities
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Obtain and manage authorisations for all identified patients
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Ensure timely re-authorisations to enable full claim payments
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Capture and communicate accurate data to all relevant parties
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Identify and escalate risk cases to prevent revenue loss
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Comply with clinical coding standards (Level 2 coding guidelines)
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Adhere to confirmation procedures, funder contracts, and legal requirements
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Utilize systems and tools like AS400, B2B EMS, and internal databases
Minimum Requirements
Education:
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Essential: Grade 12 (Matric or equivalent)
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Desired: None
Experience:
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Essential: No prior experience required
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Desired: Exposure to a clinical or healthcare environment
Skills and Knowledge:
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Familiarity with funder contracts and medical aid requirements
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Knowledge of clinical coding (Level 2) and patient admin procedures
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Understanding of relevant legal frameworks (e.g. PMB, Consumer Protection Act)
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Computer literacy (especially Microsoft Office)
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Competency in systems like AS400, B2B EMS, and workflow tracking
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Ability to identify financial risks (e.g. lack of authorisation, length of stay issues)
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Clear understanding of confidentiality policies and case management processes
Employment Equity Note
Mediclinic Southern Africa is committed to Employment Equity. Preference will be given to internal applicants and candidates who meet the minimum requirements in alignment with their Employment Equity Plan.
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