Universal Healthcare Group seeks a Pathology SME
Universal Healthcare Group seeks a Pathology SME to assess the diagnostic pathology consultations and claims from service providers. Assist in the management and supervision of the daily activities of the pathology services in a medical aid environment.
Duties & Responsibilities
- Continuous education relating to Pathology related queries and diagnostic evaluation.
- Consultation with the relevant providers and or stakeholders to ensure control and monitoring of claims related to Pathology results to ensure that they are in line with medical scheme rules.
- Oversee overall operation and administration requirements.
- Compile the relevant reports as required.
Desired Experience & Qualification
- Matric/ Grade 12
- 3-5 years’ experience in a similar role (Billing and Claims experience)
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