Healthcare Claims Administrator
2 weeks ago
**KwaZulu Natal**, Durban**
**R 15 000 - R 16 000 Monthly Cost To Company**
**Healthcare Claims Administrator**
A leadership team that values autonomy
R15 000 - R16 000 + Benefits
Top Healthcare Bureau with a connection to one of the Top Software Development houses in the healthcare sector is looking for an addition to join their growing team.
**Role Purpose**:
The Purpose of this role is to deliver an efficient, consistent and
accurate administrative medical debt service to our clients. You
will also provide the Doctors with monitoring and bureau reports
that will allow him/ her to have real time data on the financial
00status of his practice. You will become his/ her trusted business
partner ensuring that his cash flow is timous and that his/ her
aged debt is at a minimum.
**Qualifications & Experience**:
- Matric and relevant administrative qualification
- G-Suite Experience is advantageous
- 2-3 years Industry knowledge
**Responsibilities**:
- 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
**As Specialist Recruiters for professionals in your industry, we are well geared to represent your best career interests. Whether you are an active job seeker or just browsing, let’s have a no stress conversation about your next career move It’s always good to have a great recruiter looking out for you**
- For more information please contact:
**Karen Joubert
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