Medical Aid/health Insurance Coordinator(S)

2 weeks ago


Somerset West, Western Cape, South Africa MedE Recruit Full time

This an excellent opportunity for a self-driven, energetic, well-spoken, and qualified individual to join, learn and grow with a dynamic international team.

The holding firm is a US-based Dental (Oral and Maxillofacial) Practice Management consultancy, specialising in billing systems, cloud design, and business coaching.

The firm services international clients, with a new affiliate branch
based in Somerset West, Cape Town. The position would suit an organised
person interested in billing systems within the medical/dental industry.

Role:
Medical/Dental Insurance Coordinator

Position type:
Permanent - Office based.

Working Hours:
Monday - Friday 12 pm to 9 pm; 45 hours per week.


Must be open to occasionally working flexible hours and overtime as the need arises to accommodate various US time zones and meetings during US work hours.


Remuneration:
Monthly Gross Salary - R18 000

Main Purpose & Functions

  • Reviewing treatment plans and diagnostic information
  • Verifying the patient's health insurance benefits
  • Calculating the patient's estimated cost share
  • Entering data using dental practice management software.
  • Generating reports for all activities.
  • Liaise with medical and dental insurance companies
  • Following up on nonpaid insurance claims
  • Monitoring weekly, monthly, and quarterly reports to confirm payment from insurance companies.
  • Solving complex issues in collaboration with your local and international team with a good understanding of US medical/dental insurance benefits, billing, and claims
-
Qualifications & Requirements:

  • Matric
  • Diploma/Degree
  • Experience: 3 + years in a similar position or dental office environment (Oral and Maxillofacial work experience a bonus)
  • Knowledge and experience in dental procedures and insurance billing codes (CPT & ICD10)
  • Experience in dental practice management software
  • Excellent English, both verbal and written communication skills are required. The ability to listen and express yourself clearly and concisely is important as you will communicate with US professionals.
  • South African Citizen
  • Willingness to travel locally and internationally
  • Valid Driver's License and reliable transport
  • Maths Literacy to calculate patients' cost v insurance cost
  • Computer Literacy: Sending and receiving correspondence by using electronic formats; data capturing; website navigation; practice management software navigation; MS Office, Google Workspace; electronic medical and/or dental records

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