Billing Operations Cluster BOC Confirmations Clerk

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KEY WORK OUTPUT AND ACCOUNTABILITIES
OPERATIONAL EXCELLENCE
Confirmations process
• Manage that all medical aid patients have the necessary authorisation for hospital admission.
• Systematic follow-up of all outstanding authorisations.
• Ensure all relevant information received from the insurance provider is accurately reflected on the SAP system.
• Control of incomplete, inaccurate and delayed confirmation data as these have ramifications for accurate reporting of billing financials.
• Working within day end parameters to ensure that there is flow of files from case management to final billing.
• Manage and escalate outstanding funder responses.
• Sec...