Jun 06, 2018

Clinical Assurance Auditor

  • Affinity Health
  • Kempton Park, South Africa
Full time Finance

Job Description

Job Summary
Audit that appropriate clinical care is provided to patients visiting The Medical Society

Key Performance Areas/Key Responsible Areas
a) Maintain high level of clinical and risk control
b) Implement corrective action and other improvements through QA
c) Contribute to the development and implementation of the organisational strategy, policy and practices

Required Qualifications
a) Matric
b) Primary Health-care qualification.

Desirable Qualifications.
a) Dispensing license.

Required Experience
a) Minimum 2 year experience in an auditing role/ health-care claims audits.

Desirable Experience
a) Other claims related experience.

Required Knowledge and Skills .
a) Case management skills
b) Strong analytical and critical thinking skills
c) Strong communication skills.
d) Problem-solving
e) Knowledge of data analysis, includes spreadsheets and relational database programs for data processing techniques
f) MS Office (Word, Excel, Power Point)
g) Strong interpersonal skills
h) Excellent written and verbal communication skills

Desired attributes
a) Assertive
b) Diplomatic
c) Attention to detail
d) Ability to work in a fast paced environment
e) Work in a team/ independently
f) Customer orientated.
g) Honest, hardworking and humble.

NOTE: Applicants will be selected according to the vacancy criteria.

Submit your detailed CV to the HR Department via email

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