Our client, an IT software provider in the healthcare industry, is in search of a Medical Aid Claims Administrator to join their dynamic and fast-paced Admin department.
Duties & Responsibilities:
- Manage the Doctor’s account remotely.
- Reconcile remittances.
- Query outstanding claims.
- Resubmit outstanding claims.
- Maintain a low age analysis.
- Follow up on short payments.
- Flag claims regularly with updates.
- Clear Ontime rejections.
- Submit query reports to clients.
- Selecting correct scheme agreements.
- Maintain the ERA database.
- Identify tariff issues
- Constant liaison with client and logging of communication.
- General filing and admin.
Requirements:
- 2 years experience as a medical aid claims administrator (Non-negotiable).
- Deadline driven (Client turnaround time: 48 hours)
- Independent thinker; problem solver.
Qualifications:
CTC includes Medical Aid
Job Type: Full-time
Pay: Up to R11 000,00 per month
Application Question(s):
- What is the difference between a tariff and an ICD-10 code?
- What makes a claim patient liable?
Education:
- High School (matric) (Required)
Experience:
- Medical Aid Claims: 2 years (Required)
Work Location: In person
