Requirements:
- B Tech Degree, CCA or ECT Qualification.
- Valid Registration with the HPCSA as an
Advanced Life Support (Paramedic) or as an
Emergency Care Technician
- Minimum 5 Years Emergency Medical Services
Experience, with atleast 1 Year at a supervisory
level.
- Knowledge of Microsoft Office, Qlickview
Key Outputs:
- Manage, train, recruit and develop staff of the
claims department
- Verify that targets are benchmarked, set,
agreed with staff members in conjunction with
the department objective
- Monitor staff performance against targets and
address poor performance
Coach staff on their areas of development.
- Manage any human resouce relations activities
and issues that need to be dealt with, either in
person or via escalation to the relevant people.
- Following set out guidelines on assessing case
sheets.
- Assess case sheets according to HPCSA protocols
and ER24 policies.
- Maintain channels of communication with the
clinical team and ER24 operational staff
- Liaise with the branch managers, regional
managers and support staff to ensure that
information can be shared about clinical issues.
- Attend branch meetings, regional meetings and
flight meetings to review cases and discuss
clinical issues.
- Ensure that the clinical team and ER24
operational staff has good communication
channels.
- Preparation of reports to funds and schemes
- Generate reports regarding turnarounds,
volumes of claims, settlement amounts and
pending claims for funds and schemes, as well as
for internal review purposes, these are prepared
monthly and made available on Qlikview, with a
physical report prepared for Manco.
- Generating of additional reports on an ad hoc
basis for Regional Management in terms of service
provider utilisation and activities
- Ensure that any irregular activities by service
providers are highlighted and advised to Fund
Managers and Chief Operating Officer
- Engage in information sharing and relationship
building with the branches.
- Operational front line work
Support the claims assessors with case reviews.
- Reviewing cases with the clinical assessment
team.
- Provide clinical support and direction on cases to
assessors.
- Continuous optimisation of processes in place to
minimise risks and enhance service levels to
service providers and clients of ER24
- Constant awareness of issues, bottlenecks in the
process and regularly arising problems as well as
possible solutions or alternatives considered,
tested, submitted for approval and implemented
to ensure that service rendered is of international
standards.
- Internal communication of any changes to the
processes or requirements from schemes to
ensure optimisation and avoidance of
unnecessary problems and delays
City/Town: Paulshof
Location: Gauteng
Wage/Salary: Market Related
Start: 01 Jan 2014
How to apply: apply on http://careers.mediclinic.com only
application recieved via mediclinic portal will be
considered
Company: ER24
Phone: 0113196300
Email:
