DIVISION:ISIPINGO HOSPITAL                                                                     JOB TITLE:CASE ADMINISTRATOR PURPOSE OF POSITION

The Case Administrator is responsible for tracking of correspondences between Hospital and Medical Aid Schemes. Identify and monitor gaps, risk and assist with the implementation of correct actions agreed with management.

KEY PERFORMANCE AREAS

Track discharge files, review and ensure length of stay, level of care and coding approving

Review and ensure High-cost items are approved by the fund.

Call Medical Aids on the In patients to verify Codes submitted are covered by the fund

Check DSP listing/Procedure Co-payment listing, alert case manager of the amount member needs to pay

Assist with Forward...