Medical Aid Claims Assessor

About Our ClientOur client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients.Job SummaryWe are seeking a dedicated and experienced Claims Assessor to ensure that all claims are assessed accurately and...

The purpose of this position is to ensure that all claims are assessed using the appropriate rules and is paid correctly in line with the Scheme's benefit and tariff structures. **Duties**: - Assessing and processing Medical Aid claims - **Quality**:Measuring of individual error rate to ensure no costs incurred due to assessing errors made. -...

Our client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East. Role Description This is a full-time, office-based position. The individual will be responsible for administrating claims and authorisations from Medical Aids. Qualifications...

About Our ClientOur client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Claims Assessor to...

Our client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East. **Role Description** This is a full-time, office-based position. The individual will be responsible for administrating claims and authorisations from Medical Aids....

About Our Client: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Claims Assessor to...

About Our Client: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Claims Assessor to...

**Medical Aids Claims Administrator** Our client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East. **Role Description** This is a full-time, office-based position. The individual will be responsible for administrating claims and...

A reputable Medical Aid is seeking a Rules & Tariff Master to join their Claims Department. This role will ensure that the tariffs and rules are loaded correctly on the Administration System and to maintain this function with regards to updates and changes. **Duties**: - Providing effective communication to staff and Management on changes in the industry,...

Responsible for continuous marketing and relationship buiding. Prepare quotations and change of broker letters for new clients Assist with queries and claims and provide timeous feedback Manage and retain current Medical Aid Funds Provide companies. Degree/Diploma (NQF5 Wealth Certification) Class of business completed CMS Accredited RE 5 At least 2...

Our client, a managed care organisation based in Pretoria is looking for a Call Centre Agent. This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries. Position: Medical Call Centre Agent - Adding or removing of dependants - Processing medical scheme membership...

Responsible for continuous marketing and relationship buiding.Prepare quotations and change of broker letters for new clients Assist with queries and claims and provide timeous feedback Manage and retain current Medical Aid Funds Provide companies. Degree/Diploma (NQF5 Wealth Certification) Class of business completed CMS Accredited RE 5 At least 2...

Responsible for continuous marketing and relationship buiding. Prepare quotations and change of broker letters for new clients Assist with queries and claims and provide timeous feedback Manage and retain current Medical Aid Funds Provide companies. Degree/Diploma (NQF5 Wealth Certification) Class of business completed CMS Accredited RE 5 At least 2...

Billing controller must have experience working with medical claims, ICD 10 and procedure codes. Must have GoodX experience. Person must have experience with IOD claims and Compeasy website. **Salary**: From R15,000.00 per month Ability to commute/relocate: - Pretoria, Gauteng: Reliably commute or planning to relocate before starting work...

Medical Claims Examiner Job DescriptionAbout Our Client:Our client is a leading medical scheme dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients.Key Responsibilities:Assess all claims using the appropriate rules and guidelines.Ensure accurate and...

Job Summary:JABES CONSULTANTS is seeking a skilled Medical Aid Broker to join our team. The ideal candidate will have a strong background in medical aid sales and administration, with a focus on building and maintaining relationships with clients.Key Responsibilities:Develop and implement effective marketing strategies to attract new clientsPrepare...

We are seeking a highly skilled Medical Aid Business Development Specialist to join our team at JABES CONSULTANTS.The successful candidate will be responsible for driving business growth and development through continuous marketing and relationship building.Key responsibilities will include preparing quotations and change of broker letters for new clients,...

About Qetello Holdings: We are a leading medical scheme based in South Africa, dedicated to providing comprehensive healthcare benefits to our members. Our client is committed to innovation, quality service, and the well-being of their clients.Job Summary:We are seeking an experienced Medical Claims Examiner to ensure that all claims are assessed accurately...

**Medical Billing Claims Administrator** - A valid driver's license (REQUIRED). - Matric/Grade 12 certification (REQUIRED). - Minimum of 2 years of relevant experience (REQUIRED). - Proficiency in computer skills, particularly Microsoft Office (REQUIRED). - Encompassing knowledge with medical aid schemes, ICD-10 codes, CPT codes, procedure codes, modifiers...

A Medical Aid in Pretoria is seeking a Service Provider Practice Consultant to join their Service Providers, Contracting and Research Department. **Duties**: - Proactively manage short paid and overcharged claims. - Increasing referrals to top-ranked Specialists. - Compiling, sharing and regularly updating Q&A documents and arranging Q&A sessions for staff...