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    • Submit and manage claims to medical schemes.
    • Minimum 3 years medical billing experience.
    • Draft professional correspondence to schemes and providers.
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    • Ensure consultants apply scheme rules, SOPs, and clinical protocols correctly.
    • Good knowledge of ICD 10 codes, medical conditions and terminology.
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    • Registration with HPCSA as a medical practitioner.
    • Research, enable and consult on opportunities to harness medical technology in the treatment of clients.
    • Follow up with patients, medical schemes and gap insurers.
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    • Understand and apply the scheme rules for your allocated medical aids.
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    • Bring medical expertise, experience and skills and assist with continual medical training, coaching, mentoring, development, empowerment and performance of…
    • (Subject to specific conditions): pension scheme, medical aid scheme, group life insurance, housing allowance, leave and sick leave, service bonus and study…
    • UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
    • The incumbent will be responsible for:
    • Must have experience in liaising with medical aids, doctors, and patients.
    • The Case Administrator is responsible for tracking of correspondences between…
    • Assess medical necessity of treatment, appropriateness of facility, service provider and level of care, refer to medical protocols, and consult with Clinical…
    • Knowledge of medical scheme rules and regulations.
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    • (Subject to specific conditions): pension scheme, medical aid scheme, group life insurance, housing allowance, leave and sick leave, service bonus and study…

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Job Post Details

Medical Billing Specialist - job post

MedX
Claremont, Western Cape
R16 000 - R20 000 a month - Full-time
Responded to 51-74% of applications in the past 30 days, typically within 3 days.

Job details

Pay

  • R16 000 - R20 000 a month

Job type

  • Full-time

Location

Claremont, Western Cape

Full job description

MedX is a specialist medical billing and collections company managing accounts for leading specialist surgeons and anaesthetists across South Africa.

We are looking for an exceptional Medical Billing Specialist who thrives on accuracy, problem-solving and complex claim resolution.

This role is not suitable for someone seeking routine data capturing. We require an individual who can think critically & take ownership of their role.

Key Responsibilities

  • Submit and manage claims to medical schemes
  • Investigate and resolve claim rejections
  • Liaise with specialists, hospital groups and medical aids
  • Draft professional correspondence to schemes and providers
  • Maintain detailed account notes

Minimum RequirementsEssential

  • Minimum 3 years medical billing experience
  • Experience with specialist or anaesthetic billing
  • Strong knowledge of:
  • ICD-10 coding
  • PMB legislation
  • Medical scheme rules
  • Excellent written communication skills
  • High attention to detail

Pay: R16 000,00 - R20 000,00 per month

Application Question(s):

  • Do you have 3+ years' experience in specialist medical billing?
  • Which practice management systems have you used?
  • Have you submitted medical aid claims?
  • What is your expected monthly salary (CTC)?

Work Location: In person

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