Healthcare Claims Administrator

KwaZulu Natal, Durban

R 15 000 - R 16 000 Monthly Cost To Company

Healthcare Claims Administrator
A leadership team that values autonomy
R15 000 - R16 000 + Benefits

Top Healthcare Bureau with a connection to one of the Top Software Development houses in the healthcare sector is looking for an addition to join their growing team.
Role Purpose:
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
00status of his 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.
Qualifications & Experience:

• Matric and relevant administrative qualification
• G-Suite Experience is advantageous
• 2-3 years Industry knowledge

• 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
• Re-submit 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

For more information please contact:

Karen Joubert