Medical Claims Administrator

2 weeks ago


Durban, South Africa Total IT Recruitment Full time

Leading Corporate company is looking for M**edical Claims Administrators **to join their dynamic team and who will be responsible to deliver an efficient, consistent and accurate administrative medical debt service to their clients.

**Responsibilities**:
Providing the Doctors with monitoring and bureau reports that will allow him/ her to have real time data on the financial status of his practice. You will become his/ her trusted business partner ensuring that his cash flow is timeous and that his/ her

aged debt is at a minimum.
- 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 & Experience**
- Matric and relevant administrative qualification
- G-Suite Experience is advantageous
- **2-3 years Industry knowledge**
- **Must have knowledge on PMB’**

**Job Types**: Full-time, Permanent

**Salary**: R13 000,00 - R16 000,00 per month

**Experience**:

- Administrative office procedures, practices and equipment: 1 year (preferred)



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