Medical Claims Administrator
3 weeks ago
Duties:
- Ensure that all claims are accurate before they are submitted to the medical schemes
- Clear claim rejections as soon as you are notified.
- Reconcile and monitor all remittance advices
- Select correct scheme agreements so that the client is able to post the correct rates annually
- Follow - up on all outstanding claims
- Re-submit outstanding claims that need fixing
- Maintain a low age analysis if not zero
- Follow up on short payments
- Follow up on claims regularly with valid updates at each point of query
- Keep constant communication open with the practice and the client
- Build and maintain relationships with clients
- Monitor and maintain doctors databases with the assistance of BI reporting
Qualifications and Skills:
- Matric and relevant administrative qualification
- G-Suite Experience is advantageous
- 2-3 years Industry knowledge
- Must have knowledge on PMBs
- Customer Service Orientated
- Initiative and Commitment to Achieve
- Attention to Detail and Quality
- Teamwork Orientated
- Excellent Communication Skills
- Diplomacy
- Presentation Skills
- Adaptability
- Analytical Thinking
- Continuous Learning
NOTE - We ONLY accept online applications. We do not consider direct applications via Whatsapp or email. SALARY DISCLAIMER: The advertised salary range is merely a guideline to attract a range potentially suitable candidates to the advertised position. This doesnt automatically mean that a successful candidate can claim an offer for the maximum advertised salary. It is the prerogative of the future employer to offer a candidate a market related remuneration package in line with the candidates qualifications, skills and level of experience
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