Medical Claims Administrator - DurbanFull job descriptionLeading Corporate company is looking for Medical Claims Administrators to join their dynamic team and who will be responsible to deliver an efficient , consistent and accurate administrative medical debt service to their clients.Responsibilities:Providing 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/ heraged debt is at a minimum.● 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 reportingQualifications & Experience● Matric and relevant administrative qualification● G-Suite Experience is advantageous● 2-3 years Industry knowledge● Must have knowledge on PMB’Job Types: Full-time, PermanentSalary: R13 000,00 - R16 000,00 per monthExperience:Administrative office procedures, practices and equipment: 1 year (Preferred)
