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Medical Claims Administrator
1 week ago
We are looking for a skilled Medical Claims Administrator to join our team at Pillangó Placements. As a key member of our healthcare team, you will be responsible for delivering an efficient and accurate administrative medical debt service to private medical specialists. Your primary focus will be on client delivery, ensuring timely cash flow and minimizing aged debt.
Duties and Responsibilities
- Verify the accuracy of all claims before submission to medical schemes.
- Clear claim rejections promptly.
- Monitor and reconcile remittance advices.
- Select appropriate scheme agreements annually.
- Pursue outstanding claims.
- Resubmit claims requiring correction.
- Maintain low age analysis.
- Follow up on short payments.
- Regularly update clients with valid information.
- Maintain open communication with practices and clients.
- Develop and maintain relationships with clients.
