BOC Case Manager

Netcare

📍 South-Africa, South-Africa, South-Africa

Full-time Other-General

Job Description

We provide meaningful careers that connect people with purpose.

We are united by a common purpose of providing the best and safest care; and by our shared values of Care, Truth, Participation, Compassion and Dignity.

Netcare invites you to be part of our journey.


•     Apply clinical knowledge with regards to risk management of patient's event in terms of LOS, LOC and medical aid benefits.
•     Apply clinical knowledge with regards to rejection management (financial and clinical) of patients in terms of LOS, LOC and coding.
•     Provide electronic clinical data to substantiate length of stay and level of care for patient's stay in hospital.
•     Ensure correct clinical coding for all patients as per clinical coding SOP.
•     Apply clinical knowledge to ensuring that materials and services are correctly classified on the system.
•     Escalation of case management trends to the BOC Billings Manager for discussion in...

Apply for this Position