📌 OPPORTUNITY OVERVIEWLife Healthcare is actively recruiting for a Case Administrator position in Gauteng. This is an excellent opportunity for professionals in the Medical / Healthcare sector looking to advance their careers.
🎯 IDEAL CANDIDATE PROFILEWe are seeking talented individuals with the following profile• Experience Level: Not Specified • Educational Background: Matric or equivalent • Industry Focus: Medical / Healthcare • Location Preference: in Gauteng
💼 WHY THIS ROLE MATTERSHealthcare professionals including Case Administrator are essential service providers. This role contributes directly to community health and wellbeing.
📈 CAREER DEVELOPMENT INSIGHTSThis role in Medical / Healthcare offers valuable career progression opportunities aligned with your experience level and professional aspirations.
📋 APPLICATION GUIDANCEWhen applying for this Case Administrator position, ensure your CV highlights: • Relevant experience matching the Not Specified requirement • Educational qualifications in line with Matric • Specific achievements in the Medical / Healthcare field • Any certifications or specialized training
🌍 SOUTH AFRICA JOB MARKET CONTEXTThe Medical / Healthcare sector in South Africa continues to show strong demand for skilled professionals. This position represents a valuable opportunity in the current job market.
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A vacancy exists for a Case Administrator based at Life Springs Parkland Hospital, reporting to Marilyn Daswa, Patient Service Manager. The successful candidate will be responsible for case management administrative functions and to manage low risk, low-cost cases.
Critical Outputs
Ensure operational excellenceAssist case managers to compile motivations where required and submit to the fund. Ensure effective management of real time and manual messaging, including requests, responses, rejections and submissions for cases assigned. Ensure the accurate submission of accounts to funders. Understand and ensure adherence to patient services policies and procedures. Ensure compliance to service level agreements with internal and external stakeholders Identify and monitor gaps and risks and assist with the implementation of corrective actions agreed with management.
Ensure effective management of revenue byEnsure accurate and complete coding of patient accounts. Ensure the correct application and correct interpretation of funder contracts. Action and close off short payment queries associated with assigned responsibilities. Report RSRT risks identified to manager. Identify and monitor gaps and risks and assist with the implementation of corrective actions agreed with management.
Ensure effective management of quality outputsAdherence to ISO 9001 standards Adherence to patient services escalation processes Process alerts and incidents identified during the case management process Investigate and comprehend published alerts / incidents and agree appropriate action with management. Investigate and comprehend internal and external stakeholder complaints and agree appropriate action with management. Drive adherence to customer service standards Identify and monitor gaps and risks and assist with the implementation of corrective actions agreed with management.
Ensure effective management of relationships with internal/external stakeholders byFoster and maintain healthy relationships with internal stakeholders. E.g. nursing, pharmacy and business hubs Provide relevant feedback and information on concerns or issues raised by internal stakeholders Provide and facilitate training regarding RSRT contracts to relevant internal stakeholders (e.g. pharmacy, pre-admission and nursing staff) Identify and monitor gaps and risks and assist with the implementation of corrective actions agreed with management. Provide relevant feedback and information on concerns or issues raised by external stakeholders Provide feedback on external stakeholders impacting on the efficiency and effectiveness of the case management process. Escalate doctor non-compliance in terms of RSRT framework to RSRT meetings
RequirementsMatric Knowledge of hospital patient services and case management processes Knowledge and understanding of CPT & ICD coding Knowledge of Funder contracts, scheme rules, exclusions and benefits Understanding of private hospital industry and practices Computer proficiency
Competencies
Attention to detail Problem-solving, analysis and judgement Resilience Engaging diversity Verbal & written communication skills Professional and technical proficiency Building relationships Customer responsiveness Organisational awareness Influencing skills Action orientation Excellence orientation Ethical behaviour
Deadline:21st August,2026
How To Apply
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Click the Apply Now button above.
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Attach your Application letter, updated Curriculum Vitae (CV) and any supporting documents required.
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Use a professional subject line such as Application for "Indicate Positions"
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Send your application before the closing date.
Note: Only shortlisted candidates are contacted.
