2x Case Assessors – Medicare Private Hospital at Africa Health Care

Description


A vacancy exists for 2x Case Assessors reporting to the Patient Administration Manager. The successful candidates will be responsible for efficient patient case management and the delivery of an efficient and professional service to internal and external customers.


Critical Outputs


Case Management and utilization review
Liaising with external funders and stakeholders
Statistical analysis and reporting of outcomes and trends
Risk Management of all risks encountered with medical and private paying patients


Requirements


SANC registration as an Enrolled Nurse is advantageous.
5 years' experience of basic finance and Medical Aid administration processes and procedures (ICD10, CPT 4 Procedure Codes, Fixed Fees and Per Diems).
Private hospital patient administration experience.
Knowledge of hospital billing and tariffs
Knowledge of the Hospital Information System is advantageous.
Computer proficiency.


Competencies


Collaboration/ Relationship Building
Report writing
Analytical thinking
Problem-solving, analysis and judgement
Resilience
Engaging diversity
Verbal & written communication and presentation skills
Negotiation
Influencing
Strategic agility
Customer responsiveness
Organisational awareness
Excellence and quality orientation
Ethical behaviour
Technical and professional knowledge
Adaptability
Attention to detail
Decision making


Closing: 2026-05-21