Medical Claims Specialist

4 days ago


Durban, KwaZulu-Natal, South Africa Pillangó Placements Full time
Job Summary

We are seeking a highly skilled Medical Claims Administrator to join our team at Pillangó Placements.

About the Role

This is an exciting opportunity for a motivated and detail-oriented individual to deliver exceptional administrative medical debt services to clients. As a Medical Claims Administrator, you will be responsible for providing accurate and timely claims administration, ensuring efficient cash flow management, and maintaining strong relationships with healthcare providers.

You will play a critical role in monitoring and reporting on client financial performance, identifying areas for improvement, and implementing effective solutions. Your expertise in ICD10 coding, claims administration, and PMBs will enable you to drive business growth and enhance customer satisfaction.

Key Responsibilities
  • Deliver high-quality claims administration services to clients
  • Manage and monitor client financial performance, including aged debt and cash flow
  • Provide regular reporting and analysis to stakeholders
  • Maintain strong relationships with healthcare providers and clients
  • Stay up-to-date with industry developments and best practices
Requirements

To be successful in this role, you will need:

  • A matric qualification and relevant administrative experience
  • Strong knowledge of ICD10 coding and claims administration
  • Experience working with PMBs and medical billing systems
  • Excellent communication and interpersonal skills
  • High level of numeracy and computer literacy


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