Senior State Accountant: Finance (Medical Aids/Schemes)
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Employment Type: Permanent
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Reference No: HO30/2018
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Head Office
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Appropriate public and private sector experience regarding the management of medical scheme claims. Appropriate experience and knowledge of scheme rules, legislation and claims management in the Medical Scheme industry. Appropriate working experience with medical scheme claims at a medical scheme or administrator. |
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Computer literacy in Microsoft Office applications (Word, and Excel). Effectively interpret medical scheme data from the Department’s billing systems and/or from the respective schemes. Knowledge of medical scheme governing bodies, e.g. BHF and CMS. Knowledge of public and/or private sector tarrif structures. Knowledge of the Hospital Fees policies and procedures. Knowledge of legislative governance relating to medical schemes. Knowledge of operational and management aspects pertaining to the processing of claims within the medical scheme industry. |
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Ms L Ismail, tel. no. (021) 940-4553 |
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Represent the Department in engagements with internal and external clients. Validation of Practice numbers (PCNS) with the Board of Healthcare Funders. Perform ongoing validation of medical schemes registered in the Department’s Accounts Receivable systems. Identify underlying reasons for short or non payment of claims and resolve with medical schemes. Obtain and analyse data in respect of the Department’s Accounts Receivable systems and third party systems. Compile departmental policy directives regarding medical scheme claims. Provide support and or liaise with the Department’s facilities regarding the management of claims, legislative requirements and industry changes pertaining to medical schemes. Extensive liaison with the various medical schemes re the follow-up of unpaid medical scheme claims. Oversee submission of medical scheme claims, including interaction with the Department’s EDI service provider. The applicants who have already applied for this post need not to re-apply. |
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Senior Certificate (or equivalent) with Mathematics and/or Accountancy as passed subject or Senior Certificate (or equivalent) with experience that focuses on the Key Performance Area's (KRA's) of post. |
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The applicants who have already applied for this post need not to re-apply. |
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Valid (Code B/EB) driver’s licence. Willingness to travel on a regular basis away from work place to visit the Department’s facilities. |
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Remuneration:
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281418-331497 Annual salary plus service benefits (13th cheque, employer's contribution to the pension fund, housing and medical aid allowance).
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Starting Date:
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6/8/2018 12:00:00 AM
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NOTICE TO ALL
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Candidates may be subjected to a competency test. No payment of any kind is required when applying for this post. As directed by the Department of Public Service and Administration, applicants must note that further checks will be conducted once they are shortlisted and that their appointment is subject to positive outcomes on these checks, which include security clearance, qualification verification, criminal records and previous employment.
- It will be expected of shortlisted candidates to be:
- available at the venue on the time and date as determined by the Department and
- bring along recently (not older than 6 months) certified copies of your Identity Document (ID), driver’s license (if applicable for the post), qualification and/or proof of registration at relevant statutory body. Failure to adhere to the aforementioned may lead to his/her application being disqualified and not further considered.
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Closing date: 6/29/2018 12:00:00 AM
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FOR YOU
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