BOC Confirmation Clerk (3 months FTC)

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.
ROLE SUMMARY
The confirmations clerk communicates with funders and internal managed healthcare teams regarding confirmations of authorisations and available benefits. The incumbent will be responsible for confirming authorisations, length of stay, clinical codes and level of care for patients.
KEY WORK OUTPUT AND ACCOUNTABILITIES
DISRUPTIVE INNOVATION
Confirmations process
Manage that all medical aid patients have the necessary authorisation for hospital admission.
Systematic follow-up of all outstanding authorisations.
Ensure all relevant information received from the insurance provider is accurately reflected on the SAP system.
Control of incomplete, inaccurate and delayed confirmation data as these have ramifications for accurate reporting of billing financials.
Working within day end parameters to ensure that there is flow of files from case management to final billing.
Manage and escalate outstanding funder responses.
Secure requested letter of motivations from doctors when applicable.
Collaborate with the Hospital Billing Coordinator on following up outstanding hospital documentation.
Communication
Maintain Netcare digital system of communications strictly.
Be courteous and professional in all interactions with funders and other stakeholders.
General
Assist with any adhoc duties assigned by the BOC Case Manager/ Billings Manager.
Work collaboratively alongside case managers, file assessors and coders for effective task resolution.
Be agile in approach as Netcare moves to digitally enabled systems.
TRANSFORMATION OF OUR SOCIETY
Personal and professional development
Assume responsibility for own personal and professional development.
Keep up to date with Netcare’s evolving policies and procedures.
Maintain and sustain effective working relationships with all customers and colleagues.
POPIA
Always maintain patient confidentiality. SKILLS PROFILE
EDUCATION
Required
Grade 12 or equivalent NQF Level 4 Qualification.
WORK EXPERIENCE
Required
Experience in a healthcare setting.
Experience with any clinical or healthcare related billing systems.
KNOWLEDGE
Required
Computer literacy
PHYSICAL REQUIREMENTS
In the event of any physical or psychological limitation that may impair the employee’s ability to perform the required job function, the employee must consult the employer for reasonable accommodation.
SKILLS
Customer Focus and Service Delivery
The capacity to identify and respond to the needs of *internal and external customers.
Personal Work Ethic
Capacity to instil an ethic of quality and consistency in self and others.
Building Relationships
Capacity to establish constructive and effective relationships.
Communication
The capacity to clearly present information, either written or verbal.
Teamwork
Capacity to cooperate with others to work towards a common goal.
Technical Knowledge
The capacity to perform a technical function to required standards.
WORKING CONDITIONS
Professional flexibility in working hours while supporting daily business operations which may include weekends and night shifts where applicable.
Will interact with internal and external customers through several different means.
NETCARE VALUES AND BEHAVIOURS
Netcare Values
At Netcare, our core value is care. We care about the dignity of our patients and all members of the Netcare family. We care about the participation of our people and our partners in everything we do. We care about truth in all our actions. We are passionate about quality care and professional excellence.
At Netcare, our core value is care.
We care about the dignity of our patients and all members of the Netcare family.
We care about the participation of our people and our healthcare partners in everything that we do.
We care about the truth in all our actions.
We listen with empathy and respond with acts of compassion in all interactions with our patients and their families.
The Netcare Way
Netcare is committed to providing quality care. Our basic service standard holds us accountable for the below seven behaviours which you will be accountable to uphold:
Respect - I always greet everyone to show my respect.
Identity - I always wear my name badge to show my identity.
Dignity - I always treat others with consideration and humility to uphold dignity
Care - I always act in the best interest of Netcare and others to show I care
Compassion - I always listen with empathy and respond with kind action to show my compassion
Appreciation - I always say thank you to show my appreciation.
Diversity- I always embrace diversity to strengthen inclusivity and belonging.
Join the team committed to providing the best and safest health and care.