Medical Aid Case Manager jobs
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- Niche ConsultingBedfordview, Gauteng
- 2 years experience as a medical aid claims administrator (Non-negotiable).
- Manage the Doctor’s account remotely.
- Maintain a low age analysis.
- View all Niche Consulting jobs - Bedfordview jobs - Administrator jobs in Bedfordview, Gauteng
- Salary Search: salaries in Bedfordview, Gauteng|textlinkEl]
- Ray of Hope HaematologyRandburg, Gauteng
- Experience using medical practice management software.
- Previous management or supervisory experience in a medical practice or healthcare setting.
View similar jobs with this employerMelomed Private Hospitals SAWestern Cape- Interact with patients and medical aid schemes.
- Resolve patient and medical aid scheme queries.
- Hospital or Medical Aid scheme case management would be an…
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- CirrusfinKwaZulu-Natal
- Escalate problematic queries to consultant or manager when required.
- Accreditation is necessary in various medical schemes products.
- View all Cirrusfin jobs - KwaZulu-Natal jobs - Medical Consultant jobs in KwaZulu-Natal
- Salary Search: Medical Aid Consultant salaries in KwaZulu-Natal
- Clinix Health Group (Pty) LtdVosloorus, Gauteng
- To plan, coordinate and execute case management work at hospital level.
- The incumbent utilises clinical knowledge to minimise financial risk and ensure accurate…
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- Joint Medical HoldingsIsipingo, KwaZulu-Natal
- Effectively resolving rejections related to case management.
- Communicating adequate and pertinent information to medical schemes.
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- The Nurture Health GroupStellenbosch, Western Cape
- Reporting to the Therapy Manager, you will play a critical role in optimising patients’ clinical status and enabling their active participation in…
View similar jobs with this employerWestern Cape Government Department of Health and...Western Cape- Grade 1: R 1 479 723 - R 1 640 055 per annum A portion of the package can be structured according to the individual's personal needs.
- The South African Department of Employment &...Limpopo
- Healthcare. Manage medical claims processing.
- Manage and provide support to medical service providers.
- Assessment of medical /disability claims will be an added…
- Joint Medical HoldingsDurban, KwaZulu-Natal
- Provide strong strategic, professional, and managerial leadership for all aspects of health service operations at the Hospitals.
- Joint Medical HoldingsIsipingo, KwaZulu-Natal
- Check DSP listing/Procedure Co-payment listing, alert case manager of the amount member needs to pay.
- Must have experience in liaising with medical aids,…
- Joint Medical HoldingsIsipingo, KwaZulu-Natal
- Check DSP listing/Procedure Co-payment listing, alert case manager of the amount member needs to pay.
- Must have experience in liaising with medical aids,…
View similar jobs with this employerDiscovery Ltd.Durban, KwaZulu-Natal- Appropriate internal case referrals for clinical management.
- Preparing and presenting complex case to clinical review.
- Clinical Information and coding supplied.
- Cure Day HospitalsPretoria, Gauteng
- Your contribution to the company will be rewarded with a market-related remuneration package which includes membership of subsidised medical aid, provident…
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- Momentum HealthBellville, Western Cape
- Appropriate referral to case management team.
- Minimum 1-year medical experience (doctor's rooms, radiology, hospitals, x-rays, paramedics, confirmation clerk)…
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- Melomed Private Hospitals SASouthern Suburbs, Western Cape
- Reconcile medical aid remittances and ensure accounts are accurately updated.
- Submit, monitor, and follow up on medical aid claims within regulated timeframes.
Medical Aid Claims Administrator [FH]
Bedfordview, Gauteng
•
Remote
Up to R11 000 a month
-
Full-time
Medical Aid Claims Administrator [FH]
Job details
Up to R11 000 a month
Full-time
Remote in Bedfordview, Gauteng
Full job description
Our client, an IT software provider in the healthcare industry, is in search of a Medical Aid Claims Administrator to join their dynamic and fast-paced Admin department.
Duties & Responsibilities:
- Manage the Doctor’s account remotely.
- Reconcile remittances.
- Query outstanding claims.
- Resubmit outstanding claims.
- Maintain a low age analysis.
- Follow up on short payments.
- Flag claims regularly with updates.
- Clear Ontime rejections.
- Submit query reports to clients.
- Selecting correct scheme agreements.
- Maintain the ERA database.
- Identify tariff issues
- Constant liaison with client and logging of communication.
- General filing and admin.
Requirements:
- 2 years experience as a medical aid claims administrator (Non-negotiable).
- Deadline driven (Client turnaround time: 48 hours)
- Independent thinker; problem solver.
Qualifications:
- Matric certificate.
CTC includes Medical Aid
Job Type: Full-time
Pay: Up to R11 000,00 per month
Application Question(s):
- What is the difference between a tariff and an ICD-10 code?
- What makes a claim patient liable?
Education:
- High School (matric) (Required)
Experience:
- Medical Aid Claims: 2 years (Required)
Work Location: In person
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