Medical Claims Assessor Jobs in Gauteng - Page 3
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Commercial Insurance Claims Consultant Cape Town Market Related
Ultimate Search Consultants
South Africa
insurance certifications and have dealt with Commercial Claims, we would like to hear from you. Our client is Marine. Claims Administration Administer complete claims process according to defined claims procedures procedures until claims are settled Apply policy terms and conditions Make assessment of claims validity and and estimate value and administer mandated claims Act as intermediary between insurer and client and timeously
share this job on whatsappLife Claims Consultant - Sandton, Jhb R24 000 – 30 000 Excluding A 30% Incentive Paid Mo
Rainmaker Acquisiton CcSandton
R24 000 – 30 000 excluding a 30% incentive paid mo philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with decisions on claims worked on. Assessment of income, disability and critical illness claims following policy policy terms and claims philosophy as well as facilitate case management programmes where applicable You'll report to the Team Leader: Claims Assessing responsible for Claims. Your qualifications: • Grade 12 qualification; a medical degree preferable Your Outputs (include but is not limited to): • Evaluate claims forms
City Of Johannesburg Metropolitan Municipality
Indigo Kulani GroupSouth Africa
Processing Processing of all cash, credit card, and medical aid receipts in the cashbooks. Processing of all of all clinic receipts/banking (cash, yoco and medical aid receipts) Daily reconciliations of pharmacy Check all medical aid claims are loaded on Health Bridge and correctly submitted. Call Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups on payments due from Medical Aids. Follow-ups Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals, and allocations
Senior Bookkeepper City Of Johannesburg Metropolitan Municipality
Indigo Kulani GroupSouth Africa
Processing Processing of all cash, credit card, and medical aid receipts in the cashbooks. Processing of all of all clinic receipts/banking (cash, yoco and medical aid receipts) Daily reconciliations of pharmacy Check all medical aid claims are loaded on Health Bridge and correctly submitted. Call Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups on payments due from Medical Aids. Follow-ups Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals, and allocations
Credit Controller Johannesburg
Qetello HoldingsJohannesburg
R 15 000.00 – R19 000.00 CTC per month depending client, a leading claims administrator in Johannesburg North, we are recruiting for a Medical Credit Controller Controller to assist with Private and medical aid claims. Implement credit control procedures for specialist payments for specialist patient accounts with medical aids, with proficiency in at least four of the Psychiatry. Follow up with medical aids to ensure prompt payment of outstanding claims. Apply any necessary necessary fixes or adjustments to claims. Monitor and follow up on claims related to Prescribed Minimum Benefits
Clinical Auditor
Johannesburg
44 000 Monthly
following:
- Knowledgeable of the Medical Schemes Act and Government Gazette on tariffs
- Vet accounts for technical correctness using sound medical judgement
- Reconcile hospital accounts
- Deal weekly reports to management
- Investigate claims against daily reports
- Capture authorisations and credits with hospitals
- Reversal of claims and provide feedback to service providers
- Training
Creditors Manager Ormonde
GeotechSouth Africa
Analysis Cash flow management Collaborate with claims and debtors department to streamline end to - end Strong Project management skills basic plus 50% medical aid 50% pension and 13th cheque
Payroll Administrator Ekurhuleni (east Rand)
Dames AppointmentsEkurhuleni
R18 000 DEDUCTIONS • IOD CLAIMS – LODGE AND FOLLOW UP • UIF MAINTENANCE • MONTHLY SCHEDULES FOR MEDICAL AID - PENSION EXPERIENCE IN A SIMILAR POSITION R15 000 - R18000 plus medical aid
Auditor Kimberley
Talent Match ConsultingSouth Africa
Vacancies exist for Bill Auditors / Assessors that have a minimum of 5 years' experience in a Hospital implementation of action plans Requirements Appropriate medical qualification (i.e. ENA,EN, RN or similar) an advantage Current SANC registration appropriate to relevant Medical Qualification an advantage Knowledge of hospital
Credit Controller Johannesburg
New Era Life Insurance Company LtdJohannesburg
the role: Providing administrative support within Claims department. Key Responsibilities Confirming if policy. Registering a claim on the relevant system. Verifying the authenticity of claim documents received doctor. Assessing and validating claim documents received against the claims' standard operating requirements of the claim for approval and payment. Providing feedback on pending claims and repudiated claims. Monthly Monthly premium report and claims report. Qualifications: Matric (Grade 12) Diploma or Degree would be advantageous
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