Medical Claims Administrator - Durban, KZNFull job descriptionKwaZulu Natal, DurbanR 16000 - R 17000 Monthly Cost To CompanyWe are looking for a Medical Claims Administrator for a big, amazing and an innovative company in the health tech space.The Purpose of the team that you will become part of, is to launch a service based solution which is driven by back of cutting edge healthtech, artificial intelligence and debt management processes (primarily focused on the private medical specialists market). You will focus strongly on client delivery and at the same time make a difference in the lives of Drs and patients alike. You will deliver an efficient, consistent and accurate administrative medical debt service, provide the Doctors with monitoring and bureau reports that will allow him/ her to have real time data on the financial status of the practice. You will become his/ her trusted business partner ensuring that his cash flow is timous and that his/ her aged debt is at a minimum.Duties:Ensure that all claims are accurate before they are submitted to the medical schemesClear claim rejections as soon as you are notified.Reconcile and monitor all remittance advicesSelect correct scheme agreements so that the client is able to post the correct rates annuallyFollow - up on all outstanding claimsRe-submit outstanding claims that need fixingMaintain a low age analysis if not zeroFollow up on short paymentsFollow up on claims regularly with valid updates at each point of queryKeep constant communication open with the practice and the clientBuild and maintain relationships with clientsMonitor and maintain doctors databases with the assistance of BI reportingQualifications and Skills:Matric and relevant administrative qualificationG-Suite Experience is advantageous2-3 years Industry knowledgeMust have knowledge on PMB’sCustomer Service OrientatedInitiative and Commitment to AchieveAttention to Detail and QualityTeamwork OrientatedExcellent Communication SkillsDiplomacyPresentation SkillsAdaptabilityAnalytical ThinkingContinuous LearningNOTE - We ONLY accept online applications. We do not consider direct applications via Whatsapp or email. SALARY DISCLAIMER: The advertised salary range is merely a guideline to attract a range potentially suitable candidates to the advertised position. This doesn’t automatically mean that a successful candidate can claim an offer for the maximum advertised salary. It is the prerogative of the future employer to offer a candidate a market related remuneration package in line with the candidate’s qualifications, skills and level of experience
