Pathology Subject Matter Expert

Universal Healthcare Group - 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

1. Continuous education relating to Pathology related queries and diagnostic evaluation.
2. 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.
3. Oversee overall operation and administration requirements.
4. Compile the relevant reports as required.

Desired Experience & Qualification

1. Matric/ Grade 12
2. 3-5 years’ experience in a similar role (Billing and Claims experience)