2 Clinical Coordination jobs in South Africa
Patient Care Specialist
Posted today
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Job Description
About Janie:
Janie is a back office workflow provider that offers medical billing, insurance coordination, and scheduling services to medical groups and practices across the United States. We serve a wide range of medical specialties.
We are seeking talented individuals who are passionate about patient care and making a meaningful impact on people's lives. Our mission is to recruit and train exceptional individuals worldwide to support US medical patients.
About the Position:
This is your opportunity to transition into the healthcare freelancing world Collaborate with onsite medical staff to manage patient scheduling, confirm appointments, and liaise with insurance providers, all while ensuring an excellent patient experience. We offer competitive pay, RAISES, PTO, incentives, health allowances, and more. Don't miss out on this chance to make a difference in healthcare
Primary Responsibilities:
- Answer phone calls and address patient inquiries
- Schedule and confirm appointments
- Pre-screen calls (triage) and direct patients accordingly
- Work with insurance and medical records
- Assist with various administrative tasks as needed
Requirements:
- Fluent in English
- Great personality
- Customer service mindset
- Experience in Healthcare (US)
Senior Specialist: Clinical Risk Management Support
Posted today
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Job Description
What will you do?
To form a component of the GEMS: clinical risk management/ fund management support structure. Conduct research and draft documentation and spearhead internal projects related to the work of the clinical risk or fund management teams. Support the Advanced Specialist: Strategic Sourcing with the development of the strategic sourcing strategy through the identification of cost drivers
drivers including gathering of relevant data from various sources.
- Provide effective and valuable input and guidance to the scheme to support the management of clinical risk
- Oversee the specific SPN relationship together with the fund manager and or senior/advanced clinical risk specialist
- The requirement is to ensure that all SPN operations concerns and requirements are communicated to the Fund managers for awareness and assist with actioning where required with internal role-players
- Perform the majority of medicines-related action items and tactical responses arising from the Scheme meetings
- Preparation of slides for various meetings to address medicines related agenda items and strategic inputs
- Presentation of slides at meetings and fielding of questions
- Handling of Scheme queries and tactical responses as they relate to all medicines matters, including but not limited to: Vaccination, MEL and MPL impact analyses, stock-outs and their impact, trend anomalies and expert panels
- Co-ordination and secretariat for Expert Panels
- Development of Medicine proposals
- Development of Medical Device proposals
- Ad-hoc analyses to support proposals
- Ad-hoc medicine requests
- Ad-hoc appliances request
- Participate in various strategic projects
Qualification and Experience:
- Qualified Pharmacist or Clinical Qualification
- 6 - 8 years' experience in managed care, claims, clinical coding and data analysis
- Knowledge of legislation, industry, PMB, NHI
Knowledge and Skills:
- Knowledge and application of relevant legislation
- Knowledge and application of processes and procedures
- Product and scheme rule knowledge
Turnaround Time
The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.
Our Commitment to Transformation
AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.
Should you not hear from us within a month of applying, consider your application unsuccessful.
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