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Medical Aid Consultant jobs in Gauteng

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    • 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]
    • Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa – products offerings include Medical Insurance, Medical Aid, Gap Insurance,…
    • Healthcare / medical insurance: 3 years (Required).
    • We Don’t Just Give Medical Aid Advise.
    • ✔ Make clients feel supported.
    • On-the-job training & mentorship.
    • Medical aid : 3 years (Required).
    • ✔ Make clients feel supported.
    • ✔ Build relationships, not transactions.
    • ✔ Are easy to work with, for our clients and teammates…
    • 4 years minimum experience as a Healthcare/Medical Aid Advisor within a brokerage environment.
    • Cash-paid Top Performer Awards.
    • Support consultants with complex client matters, escalations and strategic recommendations.
    • 10 years relevant work experience with an excellent understanding of…
    • Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa – products offerings include Medical Insurance, Medical Aid, Gap Insurance,…
    • Knowledge of medical aid or healthcare industry.
    • Promote medical aid benefit options to prospective members across allocated employer groups and market segments…

Job Post Details

Medical Aid Claims Administrator [FH] - job post

Niche Consulting
Bedfordview, Gauteng•Remote
Up to R11 000 a month - Full-time

Job details

Pay

  • Up to R11 000 a month

Job type

  • Full-time

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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