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
in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in and high-cost medication appropriateness. Customer Service: Investigate hospital claim queries within
in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in and high-cost medication appropriateness. Customer Service: Investigate hospital claim queries within
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
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
types of reports from medical practitioners Compare the reorts to our exisitng claims criteria to establish Insurance Assessing Medical Background Experience in both group and life individual life claims is essential