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
year doing medical insurance and claims
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
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and within deadline - Handle and resolve medical and claim related fund queries - Identify high risk
Keep abreast of changes in medical aid procedures and requirements for claims and dispensing. Advise and
Keep abreast of changes in medical aid procedures and requirements for claims and dispensing. Advise and