Medical Aid Claims Administrator [fh]

Bedfordview, GP, ZA, South Africa

Job Description

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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Job Detail

  • Job Id
    JD1438526
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Contract
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Bedfordview, GP, ZA, South Africa
  • Education
    Not mentioned