Medical Claim Administrator jobs
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- Niche ConsultingBedfordview, Gauteng
- 2 years experience as a medical aid claims administrator (Non-negotiable).
- Flag claims regularly with updates.
- Manage the Doctor’s account remotely.
- View all Niche Consulting jobs - Bedfordview jobs - Administrator jobs in Bedfordview, Gauteng
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- Joint Medical HoldingsIsipingo, KwaZulu-Natal
- Must have experience in liaising with medical aids, doctors, and patients.
- The Case Administrator is responsible for tracking of correspondences between…
- VitalitySandton, Gauteng 2196
- Review initial claim requirements and provide administrative support throughout the claims lifecycle.
- The role is responsible for obtaining and managing the…
- Oneplan Underwriting Managers (Pty) Ltd.Sandton, Gauteng
- Manage the claims intake process for new claims, including gathering information from customers.
- Responsible for the processing of claims made under the shared…
- Oneplan Underwriting Managers (Pty) Ltd.Sandton, Gauteng
- Manage the claims intake process for new claims, including gathering information from customers.
- Responsible for the processing of claims made under the shared…
- UH Medical SolutionsHelderkruin, Gauteng
- Unique Health is seeking a professional, organised and highly efficient Office Administrator to join our team and provide essential administrative and…
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- SanlamBellville, Western Cape
- Manage and review HIV-related medical and laboratory information, support underwriters with additional medical requests, and escalate complex cases when…
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- CirrusfinKwaZulu-Natal
- Accreditation is necessary in various medical schemes products.
- Prompt, professional, friendly and helpful service at all times when dealing with clients and…
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- Salary Search: Medical Aid Consultant salaries in KwaZulu-Natal
- Clinix Health Group (Pty) LtdSebokeng, Gauteng
- Demonstrable experience working with patients, doctors and medical schemes.
- Communicate with Doctors regarding certain codes, for example, exclusion codes to…
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- Epione Health Village RosebankRosebank, Gauteng
- Case management and medical scheme authorisations.
- Auditing hospital and professional claims for accurate coding.
- Minimum 3 years clinical experience.
- DR BS Chetty Medical CentreDurban, KwaZulu-Natal
- The successful candidate will be the first point of contact for patients and will play a vital role in ensuring the smooth day-to-day operation of the practice.
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- Dis-Chem Pharmacies LimitedEast London, Eastern Cape
- Transfer urgent enquiries and escalate medical emergencies immediately to the Hub Advisor or Nursing Practitioner.
- Builds rapport with store and clinic teams.
- Monitor Administrators (Pty) LtdKloof, KwaZulu-Natal
- Assessing short term claims received.
- Attend to the speedy claims payments.
- Panel beater authorizations for approved motor claims.
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- oobaCape Town, Western Cape 8001
- Analysis and claims rejection of claims.
- Follows up with Insurers for claims progress.
- Ensures cover exists and that claims are completed.
- Dis-Chem LifeSandton, Gauteng
- Contact clients and schedule medical appointments with 3rd party providers.
- This includes preparing and maintaining underwriting data, scheduling medical…
- Oneplan Underwriting Managers (Pty) Ltd.Sandton, Gauteng
- Duplicate check claims received, and process claims and emails according to processes.
- Review and assess gap claims.
- Process claims efficiently and accurately.
Job Post Details
Medical Aid Claims Administrator [FH] - job post
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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