Careers at Melomed Private Hospitals

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.