Bill Review Analyst

4 days ago


Centurion, Gauteng, South Africa Six Sense Consulting Full time
Job Description:

We are seeking a skilled Bill Review Analyst to join our team at Six Sense Consulting.

About the Role:

This is an exciting opportunity for a detail-oriented individual with strong analytical skills to review medical bills, identify discrepancies, and ensure compliance with tariff structures.

Key Responsibilities:
  • Audit and review medical bills to ensure accuracy and completeness
  • Analyze claimed items and services in correlation with available tariff structures
  • Assist in technical aspects of bill review, including auditing medical claims
  • Assess and monitor claims to prevent over-servicing or abuse and fraudulent claims
Requirements:
  • Bachelor's Degree or Advanced Diploma in Nursing/Allied Health Professions or related field
  • Registration with the relevant Health Professions Council
  • Relevant 3 years experience in a medical field
  • Computer literacy and ability to interpret UPFS tariffs rules
  • Strong analytical, organisational, and administrative skills
Estimated Salary:

$60,000 - $80,000 per annum, depending on location and experience.

Company Overview:

Six Sense Consulting is a leading healthcare consulting firm committed to delivering high-quality solutions to our clients. We offer a dynamic and supportive work environment that encourages professional growth and development.



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