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Medical Scheme jobs in Highveld, Gauteng

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    • Understanding of medical aid schemes.
    • The role requires knowledge of ICD10 coding, a solid understanding of medical aid schemes, and experience with debtors'…
    • View all Olive Medical jobs - Sunninghill jobs - Billing Administrator jobs in Sunninghill, Gauteng
    • Salary Search: Medical Billing Administrator salaries in Sunninghill, Gauteng
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    • Ensure all medical aid claims are submitted within the regulated timeframes set by the medical schemes Act and promptly resolve any rejections.
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    • Ensure all medical aid claims are submitted within the regulated timeframes set by the medical schemes Act and promptly resolve any rejections.
    • Knowledge of medical aid schemes, ICD-10 codes, CPT codes, procedure codes etc.
    • 2 years' relevant experience (ESSENTIAL).
    • Sound knowledge of legislation applicable to medical schemes and corporate governance practices.
    • Company is looking foran experienced Coordinator: Scheme…
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    • Ensure all medical aid claims are submitted within the regulated timeframes set by the medical schemes Act and promptly resolve any rejections.
    • The successful candidate must have excellent Scheme knowledge and will act as an Ambassador for PPSHA to ensure effective customer satisfaction.
    • Accurately allocate and update medical aid payments.
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    • Preparing and submitting reports and presentation material to medical schemes and clients.
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    • UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
    • Experience in an accounting environment;
    • Correct errors on scripts rejected by medical scheme.
    • Process all paperwork necessary for the accurate submission of claims to medical schemes.
    • UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
    • Source quotations from service providers;
    • Correct errors on scripts rejected by medical scheme.
    • Process all paperwork necessary for the accurate submission of claims to medical schemes.
    • UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
    • ADMIN CONTROL OFFICER (UP STUDENT ACCOUNTS).
    • UP subscribes to the BESTMED and UMVUZO medical aid schemes and contributes 50% of the applicable monthly premium.
    • Excel knowledge (Pivot Tables, VLOOKUPs).

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Job Post Details

Medical Billing Administrator - job post

Olive Medical
4.0 out of 5 stars
Sunninghill, Gauteng
From R9 000 a month - Permanent, Full-time

Job details

Pay

  • From R9 000 a month

Job type

  • Permanent
  • Full-time

Location

Sunninghill, Gauteng

Full job description

We are currently seeking a skilled and motivated Medical Billing Administrator to join our team in Sunninghill. The successful candidate will be responsible for medical aid accounts administration and medical claims billing. The role requires knowledge of ICD10 coding, a solid understanding of medical aid schemes, and experience with debtors' reconciliation in a medical practice environment.

Key Responsibilities:

  • Claims capturing
  • Submission of accounts to medical aids and private patients
  • Allocation of payments and reconciliation of remittance advices
  • Collection of outstanding accounts through SMS, EMAIL, and TELEPHONIC communication
  • Data capturing
  • Reporting (EDI reports, Age Analysis)
  • Managing patient and medical aid queries on accounts via EMAIL and TELEPHONIC communication

Qualifications and Skills:

  • Knowledge of ICD10 coding
  • Understanding of medical aid schemes
  • Experience in debtors' reconciliation in a medical practice environment.
  • Specialized billing with modifier knowledge is a plus.
  • Excellent verbal and written communication skills
  • Competency in Microsoft Office applications
  • Willingness to learn and adapt to medical software programs (training will be provided)

Working Hours:

  • Monday to Friday, 08:00 – 17:00

Appointment:

  • Immediate

Kindly forward your CV to info@olivemedical.co.za

Application Process:

Please ensure that you meet all the minimum requirements outlined in this advertisement before applying. Only candidates who meet these requirements will be considered. If you do not receive a response from us within two weeks of submitting your application, please consider your application as unsuccessful.

If you are a dedicated and detail-oriented individual with experience in medical billing and administration, we encourage you to apply for this rewarding opportunity. Join our team and contribute to the efficient management of medical billing and claims in a dynamic healthcare environment.

Pay: From R9 000,00 per month

Work Location: In person

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