Clinical Consultant

Location:Cape Town, Observatory
Education level:Matric
Company:Genesis Medical Scheme

Job description

Genesis Medical Scheme is seeking to appoint a Clinical Hospital Claims Review Consultant. The position offered will suit a self-motivated and driven person who will to be responsible for the auditing of clinical claims in a well-established medical scheme based in Cape Town.


Your duties will include but not be limited to the following job functions:

Auditing of doctors and hospital accounts, applying industry rules and guidelines as set out in the relevant Billing and tariff Manuals.

If you do not possess the following competencies your application will not be considered:
    • Attention to detail
  • Self-motivated
  • Confident
  • Well spoken
  • Bilingual (English and Afrikaans)
  • Pro-active and innovative
  • Organised
  • Good verbal and written communication
  • Knowledge of ICD-10 coding

The following minimum qualifications are required:
  • Recognised nursing qualification with theatre experience
  • Minimum two years relevant work experience in Clinical Auditing in the healthcare industry 

Your application requesting consideration for employment in the above-mentioned capacity must consist of a current CV together with a covering letter motivating the Scheme’s consideration of your application. If you do not meet the competencies required for the position, as set out above, your application will not be considered at all. Your application will, however, be assisted by the inclusion of brief explanations of your past experience in relation to the requirements of the position.

Should you wish to be considered for this position and be in possession of the requisite skills and qualifications, you are invited to submit your application to to be received by no later than the close of business on Monday 11 January 2021.

Posted on 10 Dec 09:34


Jeannett Morton

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