Mediclinicconfirmations clerk
Jun. 2013 - Mar. 2016• Ensuring that integrity and quality of the confirmations process in the hospital are maintained. • Cases (pre-admissions and in-patients) are confirmed (i.e. Medical Aid membership, benefits, authorisation number, length of stay, credit limit, codes and exclusions) and captured on the system as per policy and procedure. • Ensure that booking information are scrutinised and risk cases identified and referred to credit controllers. • Ensure that Medical Aid confirmations are immediately obtained for emergency in-patient admissions and unbooked cases. • Ensure that the authorisation processes related to clinical definitions and criteria (i.e. theatre minutes, oxygen, ICU) are adhered to. • Clinical data is obtained and captured on the system as per policy and procedure • Ensure that system rules are adhered to when capturing clinical codes. • Confirmation (manual and electronic) updates for pre-admissions and in-patients are done as per the Patient Administration System Manual. • Disclaimers given by funders are interpreted and communicated to all relevant role players. • Patients and doctors are informed of financial risk, and arrangement for financial back-up referred to credit controllers. • High risk and complex cases related to the clinical processes are identified and referred to the line manager. • Liaise daily with medical aids and internal customers (nurses and doctor’s) • Conduct month audits on own work in order to be ready for external audits.