Medical Aid/health Insurance Coordinator(S)
2 weeks ago
This an excellent opportunity for a self-driven, energetic, well-spoken, and qualified individual to join, learn and grow with a dynamic international team. The holding firm is a US-based Dental (Oral and Maxillofacial) Practice Management consultancy, specialising in billing systems, cloud design, and business coaching.
The firm services international clients, with a new affiliate branch **based in Somerset West, Cape Town**. The position would suit an organised** person interested in billing systems within the medical/dental industry.**
**Role**:Medical/Dental Insurance Coordinator
**Position type**:Permanent - Office based.
**Working Hours**:Monday - Friday 12 pm to 9 pm; 45 hours per week.
Must be open to occasionally working flexible hours and overtime as the need arises to accommodate various US time zones and meetings during US work hours.
**Remuneration**:Monthly Gross Salary - R18 000
**Main Purpose & Functions**
- Reviewing treatment plans and diagnostic information
- Verifying the patient’s health insurance benefits
- Calculating the patient’s estimated cost share
- Entering data using dental practice management software.
- Generating reports for all activities.
- Liaise with medical and dental insurance companies
- Following up on non-paid insurance claims
- Monitoring weekly, monthly, and quarterly reports to confirm payment from insurance companies.
- Solving complex issues in collaboration with your local and international team with a good understanding of US medical/dental insurance benefits, billing, and claims
- **Qualifications & Requirements**:
- Matric
- Diploma/Degree
- Experience: 3 + years in a similar position or dental office environment (Oral and Maxillofacial work experience a bonus)
- Knowledge and experience in dental procedures and insurance billing codes (CPT & ICD10)
- Experience in dental practice management software
- Excellent English, both verbal and written communication skills are required. The ability to listen and express yourself clearly and concisely is important as you will communicate with US professionals.
- South African Citizen
- Willingness to travel locally and internationally
- Valid Driver’s License and reliable transport
- Maths Literacy to calculate patients’ cost v insurance cost
- Computer Literacy: Sending and receiving correspondence by using electronic formats; data capturing; website navigation; practice management software navigation; MS Office, Google Workspace; electronic medical and/or dental records
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