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Medical Financial Services Representative

1 week ago

Durban, KwaZulu-Natal, South Africa Pillangó Placements Full time
Medical Claims Administrator Position

Pillangó Placements is seeking a detail-oriented Medical Claims Administrator to support our clients in the healthcare industry. As a Medical Claims Administrator, you will be responsible for delivering an efficient and accurate administrative medical debt service to private medical specialists. Key responsibilities include:

Primary Responsibilities
  • Ensure claim accuracy before submission.
  • Resolve claim rejections efficiently.
  • Monitor and reconcile remittance advices.
  • Select correct scheme agreements annually.
  • Pursue outstanding claims.
  • Resubmit corrected claims as needed.
  • Optimize age analysis.
  • Process short payments quickly.
  • Communicate effectively with clients and practices.
  • Nurture strong relationships with clients.