Medical Claims Administrator - Durban, South Africa - Total IT Recruitment

Total IT Recruitment

Verified Company

Durban, South Africa

1 week ago

Posted by:

Thabo Mthembu

beBee Recruiter

Description

Well reputable company is looking for a
Medical Claims Administrator to join their dynamic team.

The purpose of this role is to deliver an efficient, consistent and accurate administrative medical debt service to our clients.

You will also provide the Doctors with monitoring and bureau reports that will allow him/ her to have real time data on the financial status of his practice.

You will become his/ her trusted business partner ensuring that his cash flow is timeous and that his/ her aged debt is at a minimum.

Description

Ensure that all claims are accurate before they are submitted to the medical schemes
Clear claim rejections as soon as you are notified.
Reconcile and monitor all remittance advices
Select correct scheme agreements so that the client is able to post the correct rates annually
Follow up on all outstanding claims
Resubmit outstanding claims that need fixing
Maintain a low age analysis if not zero
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 with the assistance of BI reporting

Qualifications & Experience

Matric and relevant administrative qualification
G-Suite Experience is advantageous

-
2-3 years Industry knowledge

-Must have knowledge on Practice Management Bureau (PMB)

Job Types:
Full-time, Permanent

Salary:
R12 000,00 - R16 000,00 per month

Experience: