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Healthcare Claims Coordinator

2 weeks ago

Durban, KwaZulu-Natal, South Africa Pillangó Placements Full time
Job Overview

We are searching for a dedicated Medical Claims Administrator to join our team at Pillangó Placements. In this role, you will work closely with private medical specialists to deliver an efficient and accurate administrative medical debt service. Your responsibilities will include:

Main Responsibilities
  • Validate claim data before submission.
  • Address claim rejections promptly.
  • Manage remittance advices effectively.
  • Select suitable scheme agreements annually.
  • Track and pursue outstanding claims.
  • Resubmit corrected claims as needed.
  • Optimize age analysis.
  • Process short payments quickly.
  • Keep clients informed of updates.
  • Nurture relationships with clients.