A medical billing company in Johannesburg is looking for an experienced Billing Agent Expert Leader. The role involves managing patient billing, ensuring accuracy, and staying informed on billing regulations. Candidates should have at least 6 years
Role: Authorisation Clerk (Specialist Medical Practice) Location: Western Cape, Overberg, Hermanus Salary: TBC Key Responsibilities Obtain and manage medical aid authorisations for consultations, procedures, and surgeries. Verify ICD-10 codes, procedure codes, and practice information before submission. Follow
Position Purpose: To provide expert clinical assessment and decision making in relation to Ex gratia applications, regulatory (CMS) complaints, appeals, disputes and escalations. Experience: 2-5 years relevant managed care, health risk and clinical customer service within
Hire Resolves client is seeking a skilled and detail-oriented Hospital Case Manager to join their healthcare team in Mthatha, Eastern Cape . The successful candidate will be responsible for coordinating patient care, ensuring accurate medical coding,
Title: Senior Pharmacist Area: Amajuba district (NKZN) Industry: Pharma Health Care Ref No.: TRG 2506 Salary: Market related TCTC available/negotiable (TBC) Start Date: As soon as possible / Negotiable Type: Permanent An experienced SENIOR PHARMACIST is
REQUIREMENT: Relevant healthcare qualification Proven experience compiling and submitting Psychiatric ICD 10 codes Knowledge of medical aid authorisations Strong administration skills KEY RESPONSIBILITIES: Manage patient case files Compile and submit Psychiatric ICD 10 codes Liaise with medical aids Maintain accurate
Select how often (in days) to receive an alert: Business Unit: Discovery Health Function: Clinical Date: 19 Aug 2026 Hospital Benefit Specialist - Cape Town | Talent Pool About Discovery Discovery’s core purpose is to make
Registered Nurse (Case Manager) Reference: PE -HP -2 The hiring organisation offers a minimum six-month fixed term contract opportunity to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based in Port
Reference: PE -RW-1 Our client operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join their team based in Port Elizabeth - on a 6 month fixed term
Job Title: Case Manager Company: Aryxs Health Pty Ltd / The IV Bar Bryanston and The IV Bar Blu Bird Responsibilities Communicate on several platforms with a multi-disciplinary team as well as funders externally. Curator for
Position Purpose: The Senior Risk Manager is responsible for providing strategic leadership, governance and oversight of the Medical Advisory Unit’s clinical risk portfolio, with specific accountability for the Appeals and Disputes Team, including Appeals, Disputes, Council
Select how often (in days) to receive an alert: Business Unit: Discovery Health Function: Clinical Date: 19 Aug 2026 Hospital Benefit Specialist - Cape Town | Talent Pool About Discovery Discovery’s core purpose is to make
Minimum Requirements Qualifications Grade 12 or equivalent NQF Level 4 qualification. Relevant qualification in Finance, Accounting, Administration or a related field will be advantageous. Experience Minimum 23 years experience in healthcare administration, medical aid authorisations or
REQUIREMENT: Relevant healthcare qualification Proven experience compiling and submitting Psychiatric ICD 10 codes Knowledge of medical aid authorisations Strong administration skills KEY RESPONSIBILITIES: Manage patient case files Compile and submit Psychiatric ICD 10 codes Liaise with medical aids Maintain accurate
Position Purpose: To provide expert clinical assessment and decision making in relation to Ex gratia applications, regulatory (CMS) complaints, appeals, disputes and escalations. Experience: 5 years relevant managed care, health risk and clinical customer service within
Key Performance Areas: Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length of stay and level of care. Monitor and action risk related to medical aid benefits and hospitalisation. Ensure
Hire Resolve has partnered with a Medical Billing company that provides medical practitioners with a range of medical account administration to find a Billing Agent Expert Leader to join their team in Johannesburg. Responsibilities Patient data
Key Performance Areas: Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length of stay and level of care. Monitor and action risk related to medical aid benefits and hospitalisation. Ensure
Job Title: Case Manager (Registered Nurse) Reference: PE -HP -2 The hiring organisation offers a minimum six-month fixed term contract opportunity to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based
Role Specific Behaviours Ensures accountability. Hospital Benefit Specialist - Cape Town | Talent Pool About Discovery Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest