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Administrative Medical Debt Specialist

1 week ago

Durban, KwaZulu-Natal, South Africa Pillangó Placements Full time
About the Role

Pillangó Placements is seeking a highly organized and detail-oriented Medical Claims Administrator to support our clients in the health tech space. As a Medical Claims Administrator, you will play a critical role in launching a service-based solution driven by cutting-edge health tech, artificial intelligence, and debt management processes. Your responsibilities will include:

Key Responsibilities
  • Ensure claim accuracy before submission.
  • Resolve claim rejections in a timely manner.
  • Reconcile and monitor remittance advices.
  • Select correct scheme agreements.
  • Follow up on outstanding claims.
  • Resubmit corrected claims.
  • Minimize aged debt.
  • Process short payments efficiently.
  • Communicate effectively with clients and practices.
  • Foster strong relationships with clients.