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 R11000,00 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
Expected Start Date: 2025/06/01
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