Medical Claim Administrator jobs

Important: We appreciate your interest in this opportunity. Due to usually receiving a high volume of applications, only shortlisted candidates who meet the requirements of the position will be contacted. If you have not heard from us within four (4) weeks after 26 June 2026, please accept that your application has not been successful on this occasion.

REQUIREMENTS, EXPERIENCE, AND QUALIFICATIONS/TRAINING:

• Administration, Billing and Collecting, Medical Secretary, Nursing, or any relevant qualification.
• Experience in debt collection in the healthcare environment.
• Experience and knowledge with medical ICD-10 / RPL codes.
• Knowledge and experience working with GoodX, medEDI, Vericlaim, and Elixir.

KEY COMPETENCIES:

• Accuracy and attention to detail.
• Excellent customer service skills.
• Excellent time management skills.
• The ability to work under pressure and meet deadlines.
• Excellent communication (verbal and written) skills.
• Willingness to work in a fast-paced, growing team environment.
• Intermediate Computer Skills, including but not limited to MS Office, Excel.

RESPONSIBILITIES INCLUDE (BUT ARE NOT LIMITED TO):

• Claims Processing: Capture and submit claims to various medical schemes and administrators
• Payment Reconciliation: Reconcile payments received from patients and medical schemes.
• Claim Management: Address claim rejections from medical schemes. Identify reasons for rejections and take action accordingly. Collect outstanding debt from debtors in a timely fashion.
• Continuous development: Stay compliant with healthcare billing regulations and protocols of different administrative bodies.
• Software: Utilize billing software to manage billing and financial data efficiently.
• Teamwork: Collaborate with team leaders and other administrative staff to resolve billing and payment issues and maintain a positive working environment

BENEFITS:

• Pension Fund
• Death, Disability & Funeral Benefit
• 50% company contribution towards Medical Insurance (Momentum Health4Me)
• Lyra Wellness Support

HOW TO APPLY:

If you meet the above criteria and have the relevant experience and attributes, please submit your CV, with contactable references, to chanel@mficpt.co.za, using the subject line: APPLICATION - Medical Administrator: Your Name

Job Types: Full-time, Permanent

Pay: R17 000,00 - R25 000,00 per month

Application Question(s):

• Are you familiar with ICD-10 codes?
• Do you have medical billing experience?
• Are you comfortable working in an open floor office setting?

Education:

• Certificate (Preferred)

Experience:

• Medical Administration: 1 year (Required)

Work Location: In person