Medical Invoice Operations Specialist
5 days ago
We are seeking a highly skilled and detail-oriented Medical Invoice Operations Specialist to join our team at Rand Mutual Admin Services.
About the Role:
- You will be responsible for processing medical invoices effectively and efficiently, ensuring accuracy and timeliness in your work.
- Handling a high volume of invoices per day, including capturing, duplicates, and queries, you will achieve daily targets while maintaining a high standard of client relationships.
- You will accurately assess invoices prior to capturing, applying set criteria and company business rules in respect of liability, using COIDA Tariffs and other agreed Tariffs.
- Able to resolve queries within 24 hours, you will report any delays to the Head of Department.
- You will have knowledge and accurate application of different tariffs schedules, including BHF, SAMA, COID, NRPL, ICD10 coding, and Nappi Codes.
- Maintaining a high level of attention to detail, you will ensure minimum reversals due to duplicate payments, overpayments, incorrect payee, or non-authorised procedures.
Requirements:
- A Grade 12 qualification/Matric Certificate is required, with relevant industry and Medical Aid qualification advantageous.
- You should have at least 2-3 years of relevant industry experience.
What You Will Get:
As a valued member of our team, you will receive a competitive salary package, including a base salary of approximately R180,000 per annum, depending on location and experience. Our company offers opportunities for personal and professional development in a stable environment that values teamwork and collaboration.
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