SUMMARY:

Medical Authorisation Clerk (Specialist Ophthalmology Practice)

Are you highly organised, detail-oriented, and passionate about delivering exceptional service?

A busy Specialist Ophthalmology Practice is looking for a professional, organised and proactive Medical Authorisation Clerk to join their team.
This role is ideal for someone who thrives in a fast-paced medical environment and understands that accurate authorisations, effective patient communication and sound administration are essential to delivering excellent patient care and supporting the financial success of the practice.

POSITION INFO:
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 up on pending, outstanding, and rejected authorisations.
• Maintain up-to-date knowledge of medical aid rules, funding protocols, and authorisation requirements.
• Liaise professionally with medical schemes, hospitals, and patients regarding authorisation queries.
• Ensure authorisations are obtained within the required turnaround times.
• Communicate directly with patients regarding co-payments, shortfalls, and financial responsibilities.
• Follow up on outstanding patient accounts in accordance with practice procedures.
• Assist with debtor management and age analysis.
• Maintain accurate patient and financial records.
• Work closely with the Ophthalmologist, Practice Manager, and reception team to ensure a seamless patient experience.
• Adhoc admin duties

Minimum Requirements

• Grade 12 (Matric).
• Previous experience in a specialist medical practice is essential.
• Previous experience with medical aid authorisations is essential.
• Knowledge of ICD-10 and procedure coding is essential.
• Knowledge of medical billing will be advantageous.
• Experience in creditors and debtor administration will be advantageous.
• Computer literate with experience using medical practice management software.
• Excellent administrative and organisational skills.
• Strong verbal and written communication skills.
• Ability to work accurately under pressure.
• High level of professionalism, integrity, and confidentiality.

Personal Attributes

We are looking for someone who:

• Has exceptional attention to detail.
• Takes ownership of their work and is accountable for outcomes.
• Can prioritise and manage multiple tasks effectively.
• Demonstrates initiative and follows through on responsibilities.
• Is patient-centred and enjoys working with people.
• Works well as part of a professional team.
• Demonstrates integrity, professionalism, and accountability in all aspects of the role.

Why Join Our Team

• The opportunity to work in a respected specialist ophthalmology practice.
• A supportive and professional working environment.
• The opportunity to work alongside a highly skilled specialist team committed to excellence in patient care.
• Ongoing learning and development opportunities.
• The opportunity to make a meaningful contribution to excellent patient care.

 

 

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