Healthcare Claims Specialist Position

5 days ago


Durban, KwaZulu-Natal, South Africa Pillango Placements Full time

We are looking for a seasoned Healthcare Claims Specialist to lead our administrative medical services team. As a key member of the Pillango Placements team, you will play a critical role in ensuring timely and accurate delivery of medical debt services to clients.

In this role, you will be responsible for capturing patient demographics and claims accurately, ensuring all claims are accurate before submission, clearing claim rejections promptly, reconciling and monitoring remittances, and following up on outstanding claims.

The successful candidate will have 2-3 years of industry experience, a strong understanding of PMBs, and excellent computer literacy and numeracy skills. The estimated salary for this position is $55,000 per annum, based on market standards and the candidate's qualifications and level of experience.

Job Description:
  • Deliver efficient and accurate administrative medical debt services
  • Provide detailed reports to doctors and practice managers
  • Build and maintain relationships with clients
Requirements:
  • Matric
  • A relevant administrative qualification is advantageous
  • 2-3 years industry experience is essential
  • Mandatory knowledge of PMBs


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