Overview
Medical Claims Administrator Jobs in Durban, South Africa at Pillango Placements
Are you eager to grow and join a highly specialised team in the area of medical debt management? Become part of an
exciting
service based solution driven on the back of cutting edge healthtech, artificial intelligence and debt management processes.
As a
Medical Claims Administrator
, you will be required to deliver an efficient , consistent and accurate administrative medical debt service to clients. You will also provide the Doctors with monitoring and bureau reports that will allow them to have real time data on the financial status of their practice. You will become a trusted business partner ensuring that their cash flow is timeous and that aged debt is at a minimum.
Key Responsibilities :
Capture patient demographics and claims accurately.
Ensure that all claims are accurate before they are submitted to the Medical Schemes
Clear claim rejections as soon as notified.
Reconcile and monitor all remittances.
Follow-up on all outstanding claims.
Correct/resubmit claim rejections.
Maintain a low age analysis.
Follow up on short payments.
Follow up on claims regularly with valid updates at each point of query.
Keep constant communication open with the practice and the client.
Build and maintain relationships with clients.
Monitor and maintain doctors’ databases.
Qualifications and Experience
Matric
A relevant administrative qualification is advantageous
2 to 3 years industry experience is essential
Must have knowledge on PMBs
Knowledge and Skills
Must have knowledge on PMBs
High level of computer literacy
High level of numeracy
Google Workspace experience is advantageous
The salary bracket for the role is around R15k – R18k CTC p/m. Note that it is the client’s prerogative, regardless of advertised package, to offer a market related salary considering the candidate’s qualifications, skills, and level of experience.
Please apply online in the link provided. We do not consider CVs via Whatsapp or email.
Title: Medical Claims Administrator
Company: Pillango Placements
Location: Durban, South Africa
Category: Administrative/Clerical, Healthcare
