Job Opportunities at Discovery Limited

Job Description

•  The key purpose of this role is to ensure that effective support is provided to the Deputy General Manager of Discovery Connect and the respective sales managers.
• This support includes (but is not limited to) effective diary management, general administration, project administration, co-ordination of events and office Management.
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Secretarial duties:

• Taking and relaying messages accurately and timeously
• Problem solving
• Diary management
• Scheduling meetings, including booking and set up of the venue and any relevant documentation
• Preparation of agenda and minutes and presentations
• Provide general administration support to the management team and division
• Edit and review documents for printing and distribution

Key Outputs

Office Management:

• Order and manage cost centre equipment and supplies including stationary, PCs, furniture, etc.
• Serve as a point of contact relating to reporting of repairs
• Update Organograms
• Co-ordinate functions and events for the cost centre
• Processing and reconciliation of invoices and handling of payment queries
• Ordering, handling and reconciliation of vouchers for staff. 
• Co-ordinate departmental moves
• Allocate parking and responsible for staff reimbursements.
• Scheduling and booking of travel management.

Technical competencies:

• Ms Office Suite (Excel, PowerPoint, Word, Outlook, Visio) Advanced level
• Typing skills (Ability to type with speed and accuracy) Advanced level
• Project administration (Handle administrative tasks effectively and ensuring accuracy and attention to detail) Advanced level
• Exposure to financial systems (IDU, Sage) Intermediate level

Personal attributes and skills

Competencies:

 Behavioural competencies:

• Coping with pressure and setbacks
• Adapting and responding to change
• Planning and organising
• Delivering results and meeting customer expectations
• Following instruct ructions and procedures
• Relating and networking

Other:

• Ability to multi-task
• Effective time management skills
• Must be able to work long and flexible hours when required
• Must be able to work in fast past and highly pressurized environment.
• Excellent verbal and written communication skills required
• Excellent verbal and numeric communication skills

Professionalism

Qualification & Experience

• Matric (essential)
• Secretarial or related diploma (preferred)
• 5-8 years experience as a Professional Assistant with administration experience within a corporate environment

Advantageous :

• Facility Management Qualification
• Previous success in administrative role
• Experience refining and developing processes

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Key purpose

• This position falls within the hospital risk unit and the successful candidate will be required to conduct clinical audits on hospital claims and events data, identify potential risk from inappropriate billing against industry rules and contractual agreements. Develop strategies to mitigate risks identified, apply control measures to manage hospital costs and ensure appropriate reporting to all stakeholders.

Key Outputs

The successful candidate will be responsible for but not limited to:

• Identifying potential risk areas in terms of hospital and pathology billing trends.
• Proactively engage with analysts in understanding risks to the scheme, log data requests and propose corrective measures
• Auditing of coding quality initiatives already identified within the operational areas (pre-auth and case management)
• Identify additional coding quality concerns not already addressed and come up with suggestions for further auditing and improvement initiatives

Auditing of a wide range of data:

• Hospital claims data
• Case management data
• Hospital contracts clinical data
• Reverse and record recoveries.
• Develop strategies to address inappropriate billing and propose control measures.
• Regular engagement with hospital groups and other stakeholders on inappropriate billing trends.
• Daily support to the hospital team and operations to ensure hospital related  initiatives are delivered on time.
• Influence the maintenance of benefits, input on escalated cases and review of bene-fits\protocols. 
• Providing prompt and accurate feedback to all stakeholders
• Internal presentations  as a subject matter expect at various forums when necessary.
• Building good relationship with internal and external stakeholders.

Competencies

The successful incumbent must be able to demonstrate the following competencies:

• Must be detail oriented
• Ability to self-manage and work within a team simultaneously
• Stakeholder interaction on a professional level with internal and external clients for whom we conduct audits
• Ability to express opinions, information and key points of an argument clearly
• Monitors performance against deadlines and milestones
• Sets high standards for quality and quantity
• Makes rational judgements from the available information and analysis
• Takes initiative and works under own direction
• Focuses on customer needs and satisfaction
• Upholds ethics and values; demonstrates integrity
• Flexible in handling multiple projects simultaneously

Qualifications & Work Experience

• Matric/ Matric equivalent 
• Clinical Qualification
• Working knowledge of Outlook, Excel, Word and Power point computer packages are essential 
• Must have completed coding training at least to an intermediate level, with a view towards undertaking an advanced local accreditation course (thus must be willing to study further)
• Previous auditing experience 
• ICD-10, (CCSA.) coding and other coding schemas experience
• Case management experience
• A good understanding of industry coding processes and industry forums in which Discovery and the Coding Unit participate
• Discovery claims and product experience
• Bill audit review experience