Medical Claims Administrator

3 days ago


Durban, KwaZulu-Natal, South Africa Pillango Placements Full time
Debt Management Expert - Join Pillango Placements

We are seeking a highly skilled Medical Claims Administrator to join our team at Pillango Placements. As a Medical Claims Administrator, you will play a crucial role in delivering an efficient and accurate administrative medical debt service to clients.

About the Role:

  • Capture patient demographics and claims accurately.
  • Ensure that all claims are accurate before they are submitted to the Medical Schemes.
  • Clear claim rejections as soon as notified.
  • Reconcile and monitor all remittances.
  • Follow-up on all outstanding claims.
  • Correct/resubmit claim rejections.
  • Maintain a low age analysis.
  • 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.

Requirements:

  • Matric.
  • A relevant administrative qualification is advantageous.
  • 2 to 3 years industry experience is essential.
  • Must have knowledge on PMBs.

What We Offer:

  • An attractive salary range of R180,000 - R250,000 per annum, based on market standards and your qualifications.
  • Opportunities for career growth and professional development.
  • A dynamic and supportive work environment.


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