Requirements Possess in-depth knowledge of the medical services claims industry and healthcare coding systems
Psychiatry Follow up with medical aids to ensure prompt payment of outstanding claims Apply any necessary fixes Advices (RA's) Resolve rejections from medical aids and upfront claim rejections Submit paper claims when
Work experience
At least 2 - 3 year's experience in processing claims . 1 Year experience in forensic/investigative claims assessing or dealing with fraud, waste and abuse claims in a medical scheme .
Requirements:
Knowledge
Applications are now open for the position of Payroll and Human Resources Administrator (Salaries and Wages). The purpose of this position will be to ensure the effective processing and management of all administration linked to the payroll function for salaried and wages staff. This will include re
Applications are now open for the position of Payroll and Human Resources Administrator (Salaries and Wages). The purpose of this position will be to ensure the effective processing and management of all administration linked to the payroll function for salaried and wages staff. This will include re
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
understand medical terminology and medical reports. DUTIES: Claims Processing - Confirm that the claim
understand medical terminology and medical reports. DUTIES: Claims Processing - Confirm that the claim
medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join their team based