Medical Aids jobs in Cape Town, Western Cape

EMPLOYMENT EQUITY

The Department of Health and Wellness is guided by the principles of Employment Equity. Candidates with disabilities are encouraged to apply and an indication in the regard will be appreciated.

Note: No payment of any kind is required when applying for any of the positions advertised by the Western Cape Government.

ENQUIRIES

Mrs M. Frieslaar, Milicent.Frieslaar@westerncape.gov.za

DUTIES (KEY RESULT AREAS/OUTPUTS)

Maintain efficient and effective communication with all role players to ensure full settlement of accounts. Evaluate and monitor ICD 10 coding for externally funded patients. Interpret and implement Case Management policies, protocols and procedures efficiently and effectively. Coordinate the workflow processes between clinical and admin personnel. Managerial/Supervisory functions.

EXPERIENCE

3 Year’s relevant experience.

MINIMUM EDUCATIONAL QUALIFICATION

A qualification at NQF level 7 or equivalent that allows registration with the Health Professions Council of South Africa (HPCSA) and/or South African Nursing Council (SANC) and/or South African Pharmacy Council (SAPC).

COMPETENCIES (KNOWLEDGE/SKILLS)

Knowledge of the Medical Schemes Act 131 of 1998, regulations and annexures as amended and basic knowledge of the uniform patient fees schedule and patient billing. Knowledge of prescribed minimum benefits i.e. the chronic disease list and diagnostic treatment pairs and knowledge of and experience in ICD 10 Codes assignment, the ability to link patient diagnosis with procedure codes and knowledge of Clinicom and EDI (Electronic Data Interchange). Ability to work with Excel spread sheets, Microsoft Word and web-based programs (medical aids). Good communication, conflict management, interpersonal and leadership skills.

NOTICE TO ALL

Candidates must comply with the advertised appointment requirements of the post by the closing date and time of the advert.Candidates may be subjected to a competency test. No payment of any kind is required when applying for this post. As directed by the Department of Public Service and Administration, applicants must note that further checks will be conducted once they are shortlisted and that their appointment is subject to positive outcomes on these checks, which include security clearance, qualification verification, criminal records and previous employment. All shortlisted candidates, including SMS, shall undertake two pre-entry assessments. One will be a practical exercise to determine the candidate’s suitability based on the post’s technical and generic requirements, and the other will be an integrity (ethical conduct) assessment.

• It will be expected of shortlisted candidates to be:
• available at the venue on the time and date as determined by the Department and
• bring along recently (not older than 6 months) certified copies of your Identity Document (ID), driver’s license (if applicable for the post), qualification and/or proof of registration at relevant statutory body etc. Failure to adhere to the aforementioned may lead to his/her application being disqualified and not further considered.