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Medical Claims Administrator Role for Pillango Placements
1 month ago
At Pillango Placements, we are seeking a skilled Medical Claims Administrator to join our team. As a trusted business partner, you will play a crucial role in ensuring the efficient and accurate administrative medical debt service to clients.
About the Role
We are looking for an experienced professional with excellent communication skills to work closely with doctors and clients. Your primary responsibility will be to deliver high-quality services, ensuring that all claims are processed accurately and efficiently.
Key Responsibilities:
- Capture patient demographics and claims information accurately.
- Verify all claims before submission to ensure accuracy.
- Clear claim rejections promptly and maintain open communication with the practice and client.
- Reconcile and monitor all remittances to ensure timely payment.
- Follow up on outstanding claims and correct/resubmit claim rejections as needed.
- Maintain a low age analysis and follow up on short payments.
- Communicate regularly with the practice and client, providing updates at each point of query.
- Build and maintain strong relationships with clients and doctors.
- Monitor and maintain doctors' databases, ensuring accurate and up-to-date information.
Qualifications and Experience:
- Matric certificate is required.
- A relevant administrative qualification is advantageous.
- Minimum 2-3 years industry experience is essential.
- Familiarity with PMBs (Prescription Medical Benefit Schemes) is a must.
Knowledge and Skills:
- Proficiency in Google Workspace is advantageous.
- High level of computer literacy and numeracy is required.
- Excellent communication and interpersonal skills are essential.
Estimated Salary: The final remuneration package offered by the employer will be determined based on market standards, considering the candidate's qualifications, skills, and level of experience. The estimated salary range for this position is R250,000 - R350,000 per annum, depending on the selected candidate's attributes and qualifications.
