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    • Knowledge of medical aid schemes, ICD-10 codes, CPT codes, procedure codes etc.
    • 2 years' relevant experience (ESSENTIAL).
    • View all Olive Medical jobs - Sunninghill jobs - Billing Administrator jobs in Sunninghill, Gauteng
    • Salary Search: Medical Billing Claims Administrator salaries in Sunninghill, Gauteng
    • See popular questions & answers about Olive Medical
    • Accreditation is necessary in various medical schemes products.
    • Keeping abreast of all relevant legislative and medical scheme issues is a must.
    • The Clinical Benefit Advisory Team (CBAT), a subsidiary of Discovery Health, comprises Medical and Legal Advisors who offer clinical and legal expertise on…
    • Year end revision and medical scheme roadshows.
    • Assist HR with updated claim forms upon request.
    • Medical aid advisory: 3 years (Required).
    • Note on remuneration in addition service benefits or obligations for qualifying employees (medical assistance, housing assistance, pension-fund contributions,…
    • Submit claims to medical aids and allocate remittances via ERA (Electronic Remittance Advice) system.
    • Conduct medical aid and patient age analysis.
    • Coordinate entry and exit medical examinations.
    • Obtain and provide exit medical certificates to the Laboratory Manager.
    • Maintain an up-to-date inventory.
    • Accurately allocate and update medical aid payments.
    • You will be required to capture high volumes of Medical aid payments and to collect outstanding monies from…
    • Note on remuneration in addition service benefits or obligations for qualifying employees (medical assistance, housing assistance, pension-fund contributions,…
    • Assist with relevant projects as identified by Legal and Business Requirements around Health to avoid liability claims and non-conformance.
    • Review medical records and billing information to ensure accurate coding and claims submission.
    • Manage denials, rejected claims, appeals, and claim corrections.
  • View similar jobs with this employer
    • Ensure all medical aid claims are submitted within the regulated timeframes set by the medical schemes Act and promptly resolve any rejections.
  • View similar jobs with this employer
    • Ensure all medical aid claims are submitted within the regulated timeframes set by the medical schemes Act and promptly resolve any rejections.
    • Liaise with employees, medical practitioners and the Compensation Fund/RMA regarding claims.
    • Manage pre-employment, periodic and exit medical examinations.
    • Identify emerging risk trends and adverse claims patterns.
    • Conduct detailed assessments of customers with multiple claims.
    • Multi-Claimant Review and Management.

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Job Post Details

Medical Billing Claims Administrator - job post

Olive Medical
4.0 out of 5 stars
Sunninghill, Gauteng
R8 000 - R10 000 a month - Permanent

Job details

Pay

  • R8 000 - R10 000 a month

Job type

  • Permanent

Location

Sunninghill, Gauteng

Full job description

Minimum requirements to apply:

· Drivers’ licence (ESSENTIAL).

· Matric/Grade 12 qualification (ESSENTIAL).

· 2 years' relevant experience (ESSENTIAL).

· Computer skills - Microsoft Office (ESSENTIAL).

· Knowledge of medical aid schemes, ICD-10 codes, CPT codes, procedure codes etc. (ESSENTIAL).

· Attention to detail.

· Excellent customer service skills.

· Excellent analytical skills.

· Ability to work under pressure while always remaining calm, polite, professional.

· Always be willing to assist.

The candidate must take ownership and responsibility for their work and be able to work in a team with minimal supervision.

Pay: R8 000,00 - R10 000,00 per month

Work Location: In person

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