Nursing Medical Aid jobs

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