Medical Billing Claims Administrator
5 days ago
Pretoria, Gauteng, South Africa
Qetello Holdings
Full-time
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Medical Billing Claims Administrator
Location:
Pretoria East
Salary:
Market-related Specialisation: Specialist Medical Billing (Private Practice & Bureau) About the Opportunity A well-established Medical Bureau based in Pretoria East is looking for a Medical Billing Claims Administrator with recent, hands-on experience in specialist billing. This role is ideal for someone who thrives in a fast-paced, detail-oriented environment and understands the intricacies of private specialist claims, medical aid protocols, and clinical coding.
Key Responsibilities
- Manage full billing cycles for specialist clients
- Submit claims and resolve rejections and queries from medical aids
- Apply ICD-10, CPT, and procedure codes accurately
- Handle PMB claims and apply modifiers correctly
- Liaise professionally with clients, practices, patients, and schemes
- Maintain up-to-date billing records
- Support reconciliations and month-end processes
- Ensure data accuracy, confidentiality, and service excellence Minimum Requirements (All are essential)
- Matric / Grade 12
- Minimum 2 years of recent medical billing experience in a Medical Bureau or Specialist Practice
- Direct billing experience for Medical Specialists
- Working knowledge of:
- ICD-10, CPT, and procedure coding
- Medical scheme rules and billing procedures
- PMBs and relevant modifiers
- Computer proficiency: MS Excel, Outlook, and billing systems
- Own reliable transport and valid driver's license
- High attention to detail and data accuracy
- Able to work under pressure with minimal supervision
- Strong communication and client service skills What the Client Offers
- Competitive monthly salary based on experience
- 21 days of annual leave
- Annual performance-based bonus
- Exposure to specialist-focused billing and claims
- Supportive, process-driven work environment How to Apply
Location:
Pretoria East
Salary:
Market-related Specialisation: Specialist Medical Billing (Private Practice & Bureau) About the Opportunity A well-established Medical Bureau based in Pretoria East is looking for a Medical Billing Claims Administrator with recent, hands-on experience in specialist billing. This role is ideal for someone who thrives in a fast-paced, detail-oriented environment and understands the intricacies of private specialist claims, medical aid protocols, and clinical coding.
Key Responsibilities
- Manage full billing cycles for specialist clients
- Submit claims and resolve rejections and queries from medical aids
- Apply ICD-10, CPT, and procedure codes accurately
- Handle PMB claims and apply modifiers correctly
- Liaise professionally with clients, practices, patients, and schemes
- Maintain up-to-date billing records
- Support reconciliations and month-end processes
- Ensure data accuracy, confidentiality, and service excellence Minimum Requirements (All are essential)
- Matric / Grade 12
- Minimum 2 years of recent medical billing experience in a Medical Bureau or Specialist Practice
- Direct billing experience for Medical Specialists
- Working knowledge of:
- ICD-10, CPT, and procedure coding
- Medical scheme rules and billing procedures
- PMBs and relevant modifiers
- Computer proficiency: MS Excel, Outlook, and billing systems
- Own reliable transport and valid driver's license
- High attention to detail and data accuracy
- Able to work under pressure with minimal supervision
- Strong communication and client service skills What the Client Offers
- Competitive monthly salary based on experience
- 21 days of annual leave
- Annual performance-based bonus
- Exposure to specialist-focused billing and claims
- Supportive, process-driven work environment How to Apply