Hospital eCOIDA PPN Controller Jobs in Polokwane, South Africa at CompSol

Position: Hospital eCOIDA PPN Controller )

Hospital eCOIDA PPN Controller (Polokwane) Job Details

Job Purpose

Establish good relationships with the clients in the PPN Network and manage all injury on duty claims on eCOIDA.

Key Performance Areas
1. eCOIDA Functions

The HEP must ensure that all claims received from the Hospital and/or ER unit are registered, and all supporting documents uploaded on eCOIDA within 24 hours of receipt.
Ensure proper PPN management for IOD cases on eCOIDA.
Monitor and control the flow of paperwork between the PPN client and Comp Sol, ensuring that all accounts are uploaded, captured, completed and submitted via eCOIDA.

2. eCOIDA Training

Training of new clients on eCOIDA in terms of the relevant requirements for such client’s discipline.
Provide regular training updates to current clients to ensure that unnecessary queries are eliminated.
Ensure training sessions are completed with clients as new eCOIDA functions become available.

3. Training & Support

Provide training to clients in respect of the IOD claim as well as any disciplinary requirements.
Changes in rules and regulations must be promptly communicated to the clients.
Provide general support to clients in respect of IOD queries and completion of documents.

4. Client Relationship Management

Assist the PPN clients as needed to reduce each practice’s number of outstanding queries.
Ensure that the quality of the client’s medical accounts are good and the submission of such accounts results in the minimum queries prior to pre‑funding or administration of such accounts.
Monitor the level of client loyalty to Comp Sol providing effective feedback where the clients have become dissatisfied with the services.
Provide constant feedback to the Comp Sol Supervisor or Regional Manager on matters relating to client service as well as queries.
Ensure that the relevant notice is provided to head office if the client changes address, administration contact person, banking details, legal entity, etc.
Assist clients where necessary by approaching non‑Comp Sol service providers or employers to obtain relevant outstanding information or documentation.
Notify the Sales Representative if any non‑Comp Sol service providers are interested in signing an agreement.
Establish excellent relationships with both the medical service provider and its administration department, maintaining a professional relationship so as not to disturb the working relationship.

5. Geographical Team Liaison

Consult with the relevant Supervisor if you are not sure about elements regarding the documentation or query list.
Carry out any instructions from Supervisor with regard to clients promptly and effectively.
Provide continuous feedback via telephone and email to each Supervisor/Management pertaining to the clients managed by that Supervisor.

6. IT/OPS Liaison

Monitor and report back on all processing issues you might become aware of on eCOIDA.
Provide accurate data and examples of any problems encountered whilst working on eCOIDA.

7. Administration

As HEP you are expected to maintain a balance between client visits and providing timely feedback regarding such visits.
Ensure that your weekly report feedback is captured into the relevant database and submitted to
Prepare and supply weekly feedback to the HEP Co‑Ordinator regarding the Hospital Ledger and accounts still outstanding for submission to Comp Sol.
Prepare and supply weekly feedback to the HEP Co‑Ordinator regarding your Query Tracker.
Prepare and supply monthly feedback to the HEP Co‑Ordinator during the monthly HEP telecon on topics predetermined by the HEP Co‑Ordinator.

8. Special Projects

Complete any special projects on instruction from HEP Co‑Ordinator, Supervisor and/or Management.
Provide regular and accurate feedback on projects assigned.

Job Requirements

Title: Hospital eCOIDA PPN Controller

Company: CompSol

Location: Polokwane, South Africa

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