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ROAD ACCIDENT FUND (RAF) 
 
The Organisation requires the services of a qualified individual at its Cape Town Regional Office.
 
THIS IS AN INTERNAL AND EXTERNAL ADVERTISEMENT
 
OFFICER: BILL REVIEW: T.A.S.K GRADE 10 X2
ADVERT REFERENCE NO: OBR 23112018 CPT
LOCATION: Cape Town
CLOSING DATE & TIME: 12/4/2018 11:55 PM
 
Purpose of the Job: Reporting to the Manager: Determination, 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 or related qualification
  • Registration with the relevant Health professions council.
  • A minimum of 3 years' experience in a Medical Field.
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Technical and behavioural competencies required:
  • Personal mastery
  • Emotional wisdom
  • Ethics and governance
  • Customer orientation and customer focus
  • Computer literacy
  • Ability to interpret the rules of the UPFS tariffs
  • analytical skills
  • Organisational & administrative skills
  • Planning and Organising
  • Decision making
  • Negotiation skills
  • 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: 04 December 2018
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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, Cape Town branch; e-mail address is  CPTRecruitment@raf.co.za OR hand delivered to 2ndFloor, Correspondence Department, 1 Thibault Square, Long Street, Cape Town.

 
INSTRUCTION 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 underrepresented 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