Medical Claims Administrator

Peermed Health Centre, an established and expanding Medical Company, Gauteng is looking for a dynamic and hardworking person for the role of Claims Capturer in Pretoria. **Primary Responsibilities**: - Capture daily medical aid claims via relevant database software of the medical centre (EMD) - Review data on an ongoing basis to identify and resolve errors...

Position: Claims Administrator Location: Pretoria  Do you have an unwavering attention to detail and the ability to ensure insurance claims are captured correctly within SLA? Do you have a passion for building relationships with insurers and providers to ascertain that the claim process is smooth, and payment is made promptly? Raise your hand...

Medical Billing Bureau in Lynnwood Manor (Pretoria East) is excited to offer an employment opportunity to an experienced Medical Billing Administrator. Minimum requirements to apply: - Driver's license (ESSENTIAL). - Matric/Grade 12 qualification (ESSENTIAL). - 2 years Physiotherapy or Occupational Therapy billing experience (ESSENTIAL). - Computer skills...

**Area**: **Pretoria, Monument Park** **Requirements**: - **Grade 12 and RE5 (not negotiable)**: - ** Minimum two years experience in insurance claims and administration** *** **Duties and Responsibilities. - **To open all claims in a prompt efficient manner**: - ** To administer claims accurately and timeously**: - ** Loading of payments of...

Job Opportunity Commercial Claims Administrator Pretoria R25 000 **Salary**: R25,000.00 - R28,000.00 per month

**Duties and Responsibilities** - Ensure adherence to claims & underwriting guidelines. - Load claims information onto any future client or claims system. - Identifying 3rd party information and escalating to Insurer. - Compile and submit outstanding claims reports as per set standards. - Daily telephonic & written feedback to clients until the claim is...

Adding or removing of dependants - Processing medical scheme membership medical card requests and ensuring that it will be delivered to the correct address. - Sending membership certificates when required. - Sending tax certificates to members during tax season. - Submitting all member requests for updates in personal information to membership. - Assisting...

Medical Practice Administrator at the Netcare Waterfall City Bariatric Centre of Excellence under the leadership of Professor Tess van der Merwe. **Job Types**: Full-time, Permanent **Salary**: From R30 000,00 per month **Education**: - Diploma (required) **Experience**: - Medical Administration: 5 years (required) Ability to Commute: - Pretoria,...

Chief Director: Medical Benefits REF NO: HR5/1/2/3/36 **Salary**: R1 371 558 per annum (all inclusive) CENTER: Compensation Fund, Pretoria Requirements: MBCHB Degree, or any NQF 7 in Healthcare and Allied Health Related qualification/ or Bcom Accounting/ Business Science/ Bachelor of Science in Finance. Minimum 5 years' appropriate experience in Senior...

Preferred Skills: - Excel - high proficiency - SAGE Accounting - Payroll experience Other skills/experience: - Proven experience of at least 3 years' experience as a bookkeeper in a financial services industry At least 2 years' experience in claims administration in the insurance industry. - In-depth understanding of entire Microsoft Office suite -...

A reputable Medical Aid is seeking an experienced Consultant to join their Service Providers, Contracting and Research Department. **Job Purpose**: To provide optimal support to the Healthcare Providers on the network, expand the network and to promote the Scheme. **Duties**: - Proactive Management for short paid claims and Overcharged Claims. - Increase...

**Job Duties/Responsibilities will include**: Supervising and supporting Junior Admin Clerks To do accurate costing of job cards and submissions of claims Monitoring all claims as to prevent rejections Resubmission and recovering of all rejected claims to minimize loss to the company Checking of job cards before costing to minimize audit risk Weekly...

**Duties**: - Responsible for benefit-risk management through the following actions: - Evaluate and authorise procedures and out-of-hospital benefits; - Assist Case Management with the clinical justification of hospital benefits, including appropriate levels of care and/or alternatives to hospital admission; - Give input regarding the management of...

2years **Job Duties/Responsibilities will include**: Dealing with customer queries telephonically. Calculating various claims and paying out of claims. Utilising the functions of the Natural and Alex systems to carry out the day-to-day activities. Administration of Retirement claims for MIPF/EIPF. Corresponding with external customers Grade 12 with an...

Work experienceAt least 2 - 3 year's experience in processing claims . 1 Year experience in forensic/investigative claims assessing or dealing with fraud, waste and abuse claims in a medical scheme .Requirements:Knowledge related to the industry will be a requirement. Experience in claims assessing and the understanding thereof. An understanding of...

Work experienceAt least 2 - 3 year's experience in processing claims . 1 Year experience in forensic/investigative claims assessing or dealing with fraud, waste and abuse claims in a medical scheme .Requirements:Knowledge related to the industry will be a requirement. Experience in claims assessing and the understanding thereof. An understanding of claims...

Work experience At least 2 - 3 year's experience in processing claims . 1 Year experience in forensic/investigative claims assessing or dealing with fraud, waste and abuse claims in a medical scheme . Requirements: Knowledge related to the industry will be a requirement. Experience in claims assessing and the understanding thereof. An understanding of...

About the job Medical Receptionist Our client, a Radiation Oncologist based in Pretoria is urgently seeking to recruit a medical receptionist. **Requirements**: - Diary and appointment management - Practice management - Answering incoming calls - Assisting with the check-out process or rescheduling of appointments - Ensure the smooth and effective...

Intercare Group South Africa's job vacancy, Career and RecruitmentJob title : Medical Receptionist – Silverlakes jobs in GautengJob Location : Gauteng, PretoriaDeadline : May 17, 2024Quick Recommended LinksJobs by LocationJob by industries Intercare is a dynamic healthcare company focusing on offering value-based healthcare to patients. As ambassadors of...

Responsible for the overall management of the Medicine and Healthcare (pre-auth, case management and hospital audit) divisions through the following actions: Ensure all registered Medihelp benefits are clinically defined and that protocols and algorithms are uploaded to the system; Develop clinically defined protocols and algorithms for pharmaceutical...