Medical Billing Claims Administrator

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...

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...

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....

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...

**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...

Job Introduction Our Claims Managers are key to ensuring that any claims brought against our members are managed efficiently, with the best interests of our members and the member fund at heart. You will support the provision of excellent claims handling services for members which is trusted and valued and provides fair treatment outcomes, by managing a...

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. -...

Job Introduction Our Claims Managers are key to ensuring that any claims brought against our members are managed efficiently, with the best interests of our members and the member fund at heart. You will support the provision of excellent claims handling services for members which is trusted and valued and provides fair treatment outcomes, by managing a case...

A reputable medical practice in Montana seeks a skilled Medical Debtors Clerk to become an essential part of their team. This role offers the chance to thrive in a supportive environment that values independence, integrity, and professionalism.The ideal candidate will have a minimum of two years experience in medical debtors and strong computer skills,...

The Medical Office Administrator will manage the day-to-day activities of the medical practice, ensuring a smooth and efficient operation. This role requires exceptional administrative skills, with a strong focus on organization, time management, and communication.Responsibilities:Manage the reception area, including answering calls, emails, and managing...

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...

About the job Medical Receptionist with billing, Midstream **Medical Receptionist with billing, Midstream** A specialist practice based in Midstream is seeking to recruit a medical receptionist. **Reception**: - Answering of all calls in a professional, courteous and efficient manner. - Take messages and ensure they are actioned by relevant person. -...

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 Key Accounts Manager** Pretoria, Gauteng Salary (Market related) Company based in Pretoria East is excited to offer an employment opportunity to an experienced Medical Key Accounts Manager. **Minimum Requirements**: - Matric - 3 years’ experience in Medical Sales - Sales courses an advantage - Own vehicle and valid Driver’s License -...

**Medical Receptionist with billing, Midstream** A specialist practice based in Midstream is seeking to recruit a medical receptionist. **Reception**: - Answering of all calls in a professional, courteous and efficient manner. - Take messages and ensure they are actioned by relevant person. - Maintain the issue logbook for all messages and matters that...

Medical billing with coding experience and knowledgeDealing with medical aids/ COID and patients for collections of feesMonthly reportingComputer literate - Excell, Word and outlook and medical programs Elixir Live and GoodX essentialFully bilingual, well organized and self-motivated person with own transport.Position to be filled 2/1/2025

**Responsibilities**: - Receive and review insurance claims forms, ensuring all necessary information is complete and accurate within SLA, so that there are no delays. - Enter claim information into the company's database or claims management system accurately and promptly. - Following up on all outstanding claim documents. - Answering calls, and logging...

Medical billing with coding experience and knowledge Dealing with medical aids/ COID and patients for collections of fees Monthly reporting Computer literate - Excell, Word and outlook and medical programs Elixir Live and GoodX essential Fully bilingual, well organized and self-motivated person with own transport. Position to be filled 2/1/2025

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,...

A reputable Medical Aid is seeking an experienced Medical Aid Claims Assessor to join their HBM team in Pretoria. (Office based) **Requirements**: - Grade 12 - Staff/Enrolled or Registered Nurse (SANC) - Minimum 5 years’ experience as a Nursing Practitioner - Minimum 1 year experience gained in the medical funding industry - 1 year Medical Aid claims...