Medical Claims Quality Manager

Job OverviewWe are looking for a talented Medical Claims Quality Expert to join our team. As a key member of our quality assurance team, you will play a vital role in ensuring the quality of medical claims processing.Responsibilities include:Facilitating quality delivery and ensuring adherence to quality standardsImplementing identified quality methodologies...

Quality Assurance RoleWe are looking for a skilled Claims Quality Professional to join our team. In this role, you will be responsible for ensuring the quality of medical claims processing and implementing identified quality methodologies and improvement initiatives.Key Responsibilities:Facilitating quality delivery and ensuring adherence to quality...

As a Medical Claims Specialist with Qetello Holdings in Johannesburg, you will play a crucial role in assisting our client, a leading claims administrator in the area, with Private and medical aid claims.Key ResponsibilitiesImplement credit control procedures for specialist doctors and Allied Professionals in accordance with our credit control/debt...

Job DetailsWe are seeking a highly motivated Healthcare Quality Manager to join our team. In this role, you will be responsible for managing the quality of medical claims processing and ensuring adherence to quality standards.Key Responsibilities:Facilitating quality delivery and ensuring adherence to quality standardsImplementing identified quality...

Job title : Medical Claims Administrator X2Job Location : Gauteng, JohannesburgDeadline : March 28, 2025Quick Recommended LinksJobs by Location Job by industries The minimum requirements of the position are a degree or diploma in Nursing, Physiotherapy, Occupational Therapy and Radiography or any equivalent medical qualification as well as active...

We are looking for a Claims Processing Expert to facilitate quality delivery and ensure adherence to quality standards in our medical claims processing department.The successful candidate will have experience in medical claims processing, quality assurance, or risk assessment, with a strong understanding of medical insurance policies, claims procedures, and...

The Family Physician & Clinical Operations Manager plays a pivotal role in ensuring quality patient care and clinical governance at Quro Medical. This key position oversees clinical operations, implementing best practices and supervising medical staff to optimise workflow efficiencies.Key responsibilities include:Developing and maintaining clinical protocols...

We have an exciting opportunity for a Medical Claims Auditor to join our partner hospital in Johannesburg.About the Role:This role requires strong analytical and communication skills, as well as experience in medical billing and claims processing.Key Responsibilities:Review and verify medical claimsAnalyze data to identify discrepancies and errorsDevelop...

FEM's Mission: At FEM, we are dedicated to providing exceptional service and support to our clients. We strive to deliver outstanding results in the field of occupational injuries and diseases, and we believe that our team members are instrumental in achieving this goal.The Role:Evaluate and process medical claims in a timely and accurate manner.Collaborate...

Job DescriptionWe are seeking a highly skilled Quality Assurance Specialist to join our team. In this role, you will be responsible for ensuring the quality of medical claims processing across various business segments.Key Responsibilities:Facilitate quality delivery and ensure adherence to quality standardsImplement identified quality methodologies and...

Job title : Claims Assessor (ADMED)Job Location : Gauteng, JohannesburgDeadline : April 05, 2025Quick Recommended LinksJobs by Location Job by industries RequirementsMatric /Grade 12 Basic medical qualification an advantage (e.g. nursing or similar qualification)  Computer Literacy (MS Word, Outlook and Excel) FAIS Fit and Proper including RE5 At least 2...

Quro Medical is seeking a highly experienced Family Physician & Clinical Operations Manager to lead our clinical team. As a key player in our organisation, you will be responsible for ensuring quality patient care and clinical governance.Main responsibilities include:Implementing clinical best practices to enhance patient outcomes.Liaising with healthcare...

Quality Assurer (Medical Claims)Quality Assurer (Medical Claims)Apply locations Johannesburg time type Full time posted on Posted 2 Days Ago time left to apply End Date: March 22, 2025 (1 day left to apply) job requisition id R29383Job DescriptionTo facilitate quality delivery and ensure adherence to quality standards across various business segments.To...

At Rmbwestport, we are seeking a Quality Assurance Specialist to facilitate quality delivery and ensure adherence to quality standards across various business segments.The ideal candidate will have experience in medical claims processing, quality assurance, or risk assessment, with a strong understanding of medical insurance policies, claims procedures, and...

Were looking for Are you an experienced Medical Billing & Collections Administrator looking for a role where your attention to detail and organizational skills make a real impact? Join our clients healthcare team and play a vital role in ensuring the smooth processing of patient claims and payments. If you have a strong background in medical funder...

Quality Assurer (Medical Claims)Job DescriptionTo facilitate quality delivery and ensure adherence to quality standards across various business segments.To ensure implementation of identified quality methodologies and improvement initiatives.Facilitate quality delivery across the various teams.Monitor quality adherence and compliance to quality...

Last updated: 1 day agoJob DescriptionWe're seeking a highly skilled Medical Billing & Claims Processing Administrator to join our team.As a key member of our healthcare team, you will be responsible for ensuring the smooth processing of patient claims and payments.Your strong background in medical funder interactions, claims processing, and collections will...

Job DescriptionWe are seeking a Senior Claims Investigation Manager to join our team at Headhunters. As a key member of our organization, you will be responsible for overseeing the claims investigation process and ensuring that our clients receive the highest level of service.About the RoleThe successful candidate will have a strong background in claims...

About the Job: FEM is looking for a highly skilled Medical Claims Administrator to join our team in Johannesburg. This is an exciting opportunity for a motivated individual to contribute to the success of our organization and make a meaningful difference in the lives of our clients.Key Responsibilities:Evaluate and process medical claims in a timely and...

Job OverviewWe are seeking an experienced Insurance Claims Manager to lead our team of investigators in Bryanston, Johannesburg. The successful candidate will be responsible for driving results and maintaining quality standards within the claims investigation process.Key ResponsibilitiesLead a high-performing team of 5 desktop investigators to achieve set...