Medical Claims Administrator

2 weeks ago


Pretoria, South Africa Qetello Holdings Full time

**Duties**:

- Assisting with capturing of claims when requested
- Validation of data captured
- Billing of claims
- Submitting claims to the medical aid for processing of payment
- Querying invalid rejections
- Notifying patients of short payments/non-payments
- Allocating payments
- Settlements and a monthly completion of age analysis.
- Account’s administrators are also responsible for filing and maintaining accurate paperwork.

**Requirements**:

- Driver's license (ESSENTIAL)
- Matric/Grade 12 (ESSENTIAL)
- 2 years' relevant experience at a Medical Bureau (ESSENTIAL)
- Computer skills - Microsoft Office (ESSENTIAL)
- GoodX - would be an advantage
- Knowledge of medical aid schemes, ICD-10 codes, CPT codes, procedure codes, etc

**Skills**:

- Attention to detail
- Excellent customer service skills
- Excellent analytical skills
- Ability to work under pressure while always remaining calm, polite, professional
- Good communication skills and strong telephone etiquette

**Working Hours**:

- Monday to Friday: 08H00 - 16H00

**Remuneration**:

- R 12 000.00 - R 15 500.00 CTC per month
- Retirement Annuity

REF: Med Billing



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