OFFICER: BILL REVIEW: T.A.S.K GRADE 10

​Purpose of the Job: Reporting to the Manager: Post Claims Settlement, the successful person will be responsible for reviewing medical bills.
 
Key Performance Areas
·         Audit & review medical bills.

·         Promote good working relations with Stake Holders.

·         Approve medical expenses in accordance with relevant DOA.

·         Assisting in technical aspects of bill review.

·         Check & approve Payments in terms of DOA..

·         Determine the level of care based on functional ability.

·         Pre authorisation of procedures.

 
Qualifications and Experience
·         Appropriate B degree or Advanced Diploma @ NQF 7 in nursing or Allied Health Professions.

·         Registration with the relevant Health professions council.

·         A minimum of 3 years' experience in a Medical Field.

Technical and behavioral competencies required:

·         Computer literacy.

·         Ability to interpret the rules of the UPFS tariffs.

·         Attention to detail.

·         Analytical skills.

·         Proactive.

·         Flexibility and adaptability.

·         Organisational and administrative skills.

·         Listening skills.

·         Time management.

·         Negotiation skills. Personal mastery.

·         Emotional wisdom.

·         Ethics and governance.

·         Customer orientation and customer focus.

 
Remuneration
A total cost to company of minimum remuneration package applicable to this position is R349 998.00 per annum and will be negotiable commensurate with experience.
 
Closing date: 26 June 2018

NB: "RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in manner that will suit their needs".
 
Applications can be forwarded to the Recruitment Officer at the RAF, East London branch; e-mail address is ELNRecruitment.1@raf.co.za  OR hand deliver to 4^th Floor, Metropolitan Building, Corner Caxton Street & Drury Lane, East London.

INSTRUCTIONS TO PROSPECTIVE APPLICANTS

1.     Indicate the name and the reference number for the position you are applying for on the subject line
2.     Do not submit copies of qualifications and ID as these will be requested from shortlisted candidates on the interview date
3.     Submit a short cv with a maximum of  5 pages

The Road Accident Fund subscribes to the principles of employment equity and preference will be given to groups who are under represented in terms of our Employment Equity Plan

Please note that the prospective employees will be subjected to security vetting

 
NB:  Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful.
 
(PLEASE QUOTE THE REFERENCE NUMBER ON YOUR APPLICATION)