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Clinical claims adjudicator jobs in Pretoria (6 jobs)

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Specialist Pharmaceutical Benefit Manager

  • Quality Select Recruitment
  • Pretoria
... disease list (CDL) conditions and clinical criteria requirements for each condition ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ...
10 days ago

Specialist Pharmaceutical Benefit Manager

  • Quality Select Recruitment
  • Pretoria
... disease list (CDL) conditions and clinical criteria requirements for each condition ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ...
10 days ago

Specialist Pharmaceutical Benefit Manager

  • Quality Select Recruitment
  • Pretoria
... disease list (CDL) conditions and clinical criteria requirements for each condition ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ...
10 days ago

Specialist Pharmaceutical Benefit Manager

  • Quality Select Recruitment
  • Pretoria
... disease list (CDL) conditions and clinical criteria requirements for each condition ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ...
10 days ago

Specialist Pharmaceutical Benefit Manager

  • Quality Select Recruitment
  • Pretoria
... disease list (CDL) conditions and clinical criteria requirements for each condition ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ... . Competency in medical scheme medicine claim submissions, reversals, queries. Be able ...
10 days ago

Hospital Pharmacy Billings Manager

  • LetsLink Recruitment
  • Pretoria
... policy Monitoring and maintenance of claim rejections Maintain set targets as ... of ADCLIN system to ensure clinical appropriateness Ensure accuracy of ICD ... and tariff guidelines Application of clinical knowledge in the risk management ...
2 years ago

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