are recruiting for a Medical Credit Controller to assist with Private and medical aid claims. Implement payments for specialist patient accounts with medical aids, with proficiency in at least four of the (GP), Physician and Psychiatry. Follow up with medical aids to ensure prompt payment of outstanding claims reconciliation of Electronic Remittance Advice (ERA) and bank statements. Obtain and input manual Remittance Advices Advices (RA) Resolve rejections from medical aids and upfront claim rejections Submit paper claims when
degree or diploma and is registered with the South African Nursing Council (SANC). Additionally, the candidate Provide clinical interpretation and analysis of medical reports and doctor's motivations. Information Dissemination: Knowledge: Comprehensive understanding of the Medical Schemes Act. Coding Proficiency: Sound knowledge
our client in Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate summary of the members' clinical history for the medical advisor. Monitor the flow of documents between between the pre-authorisation division and the medical advisor. Approve benefits accurately according to the written communication. Computer literate in Ms Office. Customer focus. Must be able to work in a team the following: Comprehensive knowledge of the Medical Scheme Act; Sound knowledge of CPT-4, ICD-10 and
Reliable R 25 000.00 – R 30 000.00 CTC per month Medical Aid Pension Fund Only candidates who meet all the
Reliable R 25 000.00 – R 30 000.00 CTC per month Medical Aid Pension Fund Only candidates who meet all the
Familiarity with accounting software and Microsoft Office Suite. Strong attention to detail and accuracy
administrative role preferred. Proficiency in Microsoft Office Suite (Word, Excel, Outlook). Strong organisational
administrative role preferred. Proficiency in Microsoft Office Suite (Word, Excel, Outlook). Strong organisational