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ROAD ACCIDENT FUND (RAF) - OFFICER: BILL REVIEW
ROAD ACCIDENT FUND (RAF) - OFFICER: BILL REVIEW
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 24082018 CPT
LOCATION: Cape Town
CLOSING DATE & TIME: 9/4/2018 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
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 24082018 CPT
LOCATION: Cape Town
CLOSING DATE & TIME: 9/4/2018 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.
- Registration with the relevant Health professions council.
- A minimum of 3 years' experience in a Medical Field.
Technical and behavioural 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: 04 September 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".