Careers Opportunities at Melomed Richards Bay
Important Notice
Administration Posts
Melomed Richards Bay has the following posts available:
Case Manager
Requirements:
Qualified Registered Nurse
- A qualified EN with relevant experience would be considered
- Both need to registered with SANC and proof of indemnity cover
- Minimum 3 years nursing experience in a multidisciplinary hospital.
- Experience and exposure in Theatre and/or ICU would be advantageous
- Hospital or Medical Aid scheme case management would be an advantage.
- Experience in ICD 10 and CPT coding is essential
- Knowledge of Prescribed Minimum Benefits (PMB) Scheme rules and policies
- Excellent communication skills (written and spoken)
- Excellent analytical and problem-solving skills
- Excellent MS Office computer skills, i.e. Outlook, Word, Excel, Kronos, Clinic Manager, etc.
- Attention to detail
- Ability to cope well under pressure
Key Outputs:
Assess patient conditions and needs to develop appropriate care plans
- Interact with patients and medical aid schemes
- Resolve patient and medical aid scheme queries
- Update all information timeously and accurately
- CPT and ICD coding
- Obtain doctors letters, motivations, and justifications in all appropriate cases under managed care of where medical aids request them from their hospitals as part of their assessing process
- Monitor patient admissions and identify those who have limitations, restrictions, place by their managed care/ medical aid structures e.g. length of stay, cost restrictions, fixed fees, per diem and other limiting fees or drugs and/ or formularies
- Maintain a control system that ensures the systematic monitoring of managed care patients
Final Biller
Requirements:
- Matric compulsory
- At least 3 years relevant experience
- Computer literacy essential
- Numerate, accurate, methodical, customer centric and attention to detail
- Good communication and interpersonal skills
- Sound working knowledge of credit principles, preferably in the Healthcare Industry
Key Outputs:
- Check and ensure that stock has been recorded correctly
- Ensure that the correct stock and medication was used
- Follow up and resolve queries emanating from the final billings
- Release accounts in Clinic Manager
- Submit accounts via Medikredit and conduct follow-ups with Medikredit
- Assisting case management with account queries by contacting the fund
Please email your CV to Dallareece Vadival to mrbrecruitment@melomed.co.za, alternatively, click teh button below and apply online.