claims assessing experience in the Medical Aid industry. Assess all claims using the appropriate rules and
claims assessing experience in the Medical Aid industry. Assess all claims using the appropriate rules and
explanation of variances. Revenue/Debtors Check all medical aid claims are loaded on Health Bridge and correctly correctly submitted. Call Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups
explanation of variances. Revenue/Debtors Check all medical aid claims are loaded on Health Bridge and correctly correctly submitted. Call Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups
Credit Controller to assist with Private and medical aid claims. Implement credit control procedures for Psychiatry. Follow up with medical aids to ensure prompt payment of outstanding claims. Apply any necessary Advices (RA) Resolve rejections from medical aids and upfront claim rejections Submit paper claims when
authorization. Be able to assist the medical scheme with paper claim pricing for member reimbursement. Managing exceptional funding by the medical schemes. Follow up on weekly medicine claim rejections to ensure members Setswana, isiXhosa, isiZulu. Competency in medical scheme medicine claim submissions, reversals, queries. Be
authorization. Be able to assist the medical scheme with paper claim pricing for member reimbursement. Managing exceptional funding by the medical schemes. Follow up on weekly medicine claim rejections to ensure members Setswana, isiXhosa, isiZulu. Competency in medical scheme medicine claim submissions, reversals, queries. Be
Silverlakes, Pretoria East: CANDIDATE ATTORNEY Minimum Requirements: -Presentable and professional Afrikaans speaking female -Afrikaans and English first and second languages a must (Afr & Eng client base) -Bachelor of Laws (LLB) Degree completed a must -Driver’s license and own vehicle a must
leave South Africa). Assist with general medical queries i.e. claim submissions for payment or reimbursement
leave South Africa). Assist with general medical queries i.e. claim submissions for payment or reimbursement