Medical Aid Claims Administrator [FH]
L.A.V.
Other, Gauteng
Administrative and clerical roles handle the day-to-day paperwork, scheduling and record-keeping that keep SA businesses running, and are a popular path for matriculants with strong organisation skills.
This listing does not state a salary. As a guide, admin roles in South Africa typically pay R8 000 to R20 000 a month (indicative).
Job description
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:
- Matric certificate.
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
Good to know
What does this admin job pay?
This listing does not state a salary. As a guide, admin roles in South Africa typically pay R8 000 to R20 000 a month (indicative).
Do I need experience for admin jobs in Other?
This admin role may ask for some experience or a relevant qualification. Read the listing for the specifics before you apply.
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Found on Indeed · Posted Yesterday