Medical Claims Auditor

About ISTA SolutionsISTA Personnel Solutions South Africa is a global BPO company partnering with a U.S.-based client in the healthcare sector. We are seeking an experienced and highly professional Medical Biller to join our remote team.In this role, you will have the opportunity to work with a dynamic team and contribute to the success of our clients. You...

FEM is looking to appoint a Medical Claims Administrator in our Johannesburg branch in the Claims Department. The overall objective of the position is to ensure that all registered claims are assessed and administered efficiently and effectively in terms of the Compensation for Occupational Injuries and Diseases Act. The position requires the incumbent to...

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...

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...

About the RoleThis is an exciting opportunity for a highly skilled Healthcare Claims Investigator to join our team. As a Clinical Risk Manager - Insurance Industry, you will be responsible for conducting thorough pre-payment claim audits to ensure accuracy and prevent potential fraud.Key Responsibilities:Carry out thorough investigations into suspicious...

About the OpportunityWe are seeking a highly skilled Pre-Payment Claims Validator to join our dynamic team. In this role, you will be responsible for conducting thorough pre-payment claim audits to ensure accuracy and prevent potential fraud.Responsibilities:Conduct comprehensive pre-payment claim audits to identify potential fraud and ensure...

Job Title: Billings AuditorLocation: VosloorusReports to: Patient Services ManagerJob SummaryA healthcare facility is seeking a Billings Auditor to ensure accurate and efficient billing processes while maintaining high standards of patient care and compliance. The role involves auditing patient files, managing billing systems, and optimizing revenue in line...

Job Title: Billings AuditorLocation: VosloorusReports to: Patient Services ManagerJob Summary A healthcare facility is seeking a Billings Auditor to ensure accurate and efficient billing processes while maintaining high standards of patient care and compliance. The role involves auditing patient files, managing billing systems, and optimizing revenue in...

An Exciting new opportunity has become available within Hollard Group Risk. We are looking to recruit a Disability Claims Assessor.POSITION SUMMARY:The incumbent will be responsible and accountable for assessing, reviewing and managing Capital Disability, Dread Disease and Income Disability claims and any other claims which need a medical assessment...

ISTA Personnel Solutions South Africa is looking for a seasoned U.S. Medical Insurance Professional to join our remote team.In this role, you will be responsible for preparing and submitting billing data and medical claims to insurance companies, ensuring each patient's medical information is accurate and up-to-date, and communicating with healthcare...

An exciting new career opportunity has become available within Hollard Group Risk. We are looking to recruit a Disability Claims Assessor to join our team.**Position Summary:**The successful candidate will be responsible and accountable for assessing, reviewing, and managing Capital Disability, Dread Disease, and Income Disability claims, as well as other...

ISTA Personnel Solutions South Africa, a global BPO company partnering with a U.S.-based client in the healthcare sector, is seeking an experienced and highly professional Medical Biller Specialist to join our remote team.To excel in this role, you must have in-depth knowledge of U.S. medical billing software and a strong understanding of U.S. medical...

As a Medical Administrative Professional, you will play a pivotal role in ensuring the efficient processing of medical claims. This involves assessing and administering claims in accordance with the Compensation for Occupational Injuries and Diseases Act.We seek a candidate with strong analytical and problem-solving skills, as well as excellent communication...

A healthcare facility is seeking a Billings Auditor to ensure accurate and efficient billing processes while maintaining high standards of patient care and compliance. The role involves auditing patient files, managing billing systems, and optimizing revenue in line with contractual agreements.Minimum Qualifications & ExperienceDiploma in Nursing2-3 years of...

About the RoleWe are seeking a skilled Medical Biller and Collector to join our team at ISTA Personnel Solutions. As a global BPO company, we partner with a U.S.A Medical Billing Company to provide high-quality medical billing services. The successful candidate will be responsible for handling US healthcare insurances, including Medicare and Medicaid, and...

FEM is seeking a highly skilled Claims Specialist to join our team in Johannesburg. The primary objective of this role is to efficiently and effectively assess and administer registered claims in accordance with the Compensation for Occupational Injuries and Diseases Act.The ideal candidate will possess functional computer literacy, excellent literacy and...

About the Role:We are looking for a skilled and experienced Claims Processing Manager to join our team at The Hiring House. As a key member of our operations team, you will play a critical role in ensuring the smooth operation of our claims processing function.As a Claims Processing Manager, you will be responsible for overseeing the management of internal...

About the RoleWe are seeking a highly motivated and detail-oriented individual to join our team as a Billings Auditor. The successful candidate will be responsible for ensuring accurate and efficient billing processes, while maintaining high standards of patient care and compliance.ResponsibilitiesConduct regular audits of patient files to ensure compliance...

ISTA Personnel Solutions South Africa is a global BPO company partnering with a U.S.-based client in the healthcare sector. We are seeking an experienced and highly professional Medical Biller with a strong background in the U.S. healthcare industry to join our remote team.To excel in this role, you must have in-depth knowledge of U.S. medical billing...

Medical Biller (USA Healthcare) - USA Hours (Remote)ISTA Personnel Solutions South Africa is a global BPO company partnering with a U.S.-based client in the healthcare sector. We are seeking an experienced and highly professional Medical Biller with a strong background in the U.S. healthcare industry to join our remote team.To excel in this role, you must...