Assess patient conditions and needs to develop appropriate care plans
Interact with patients and medical aid schemes
Resolve patient and medical aid scheme queries
Update all information timeously and accurately
CPT and ICD coding
Obtain doctors letters, motivations, and justifications in all appropriate cases under managed care of where medical aids request them from their hospitals as part of their assessing process
Monitor patient admissions and identify those who have limitations, restrictions, place by their managed care/ medical aid structures e.g. length of stay, cost restrictions, fixed fees, per diem and other limiting fees or drugs and/ or formularies
Maintain a control system that ens...
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