Our client, a medical scheme seeks to employ a Claims Assessor to ensure all claims are assessed following 2 years claims assessing experience within the Medical Aid industry. (ESSENTIAL). Computer literacy. Excellent
qualification that allows registration with HPCSA as a medical specialist in psychiatry. Appropriate tertiary psychiatry after registration with HPCSA as a Medical specialist.
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 the following: Comprehensive knowledge of the Medical Scheme Act; Sound knowledge of CPT-4, ICD-10 and
is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing disability benefits, funeral cover, pension fund, medical aid and more. Access to development opportunities Satisfaction Qualification - Essential Grade 12 Medical or business-related degree Experience - Essential health related/ medical scheme environment Minimum 3 years experience in client service/ medical representative/
is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing disability benefits, funeral cover, pension fund, medical aid and more. Access to development opportunities Satisfaction Qualification - Essential Grade 12 Medical or business-related degree Experience - Essential health related/ medical scheme environment Minimum 3 years experience in client service/ medical representative/
billing operations, including integrations with medical insurance providers and private clients. This role Oversee the integration of billing systems with medical insurance providers and private clients, ensuring Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) certification preferred experience in a similar role. Strong knowledge of medical billing practices, including insurance claims processing administration and customization. Familiarity with medical coding systems (e.g., ICD, CPT) and their application
dealing with fraud, waste and abuse claims in a medical scheme .
Requirements:< within 3 months). Understanding and knowledge of Medical Scheme Rules/compliancy. Proven working experience
Client:
Our client is a leading medical scheme based in Pretoria, dedicated to providing
Oracle-based systems.
• Exposure within the Medical Aid environment is advantageous.
• Analytical
disability benefits, funeral cover, pension fund, medical aid, and more.
• Office perks: free parking
members. Apply today to contribute to a leading medical scheme's success and make a difference in the
facility, including sinks, toilets, showers, and medical gas systems. Installation: Install, assemble, and functionality and safety. Medical Gas Systems: Inspect, maintain, and repair medical gas systems, including applicable to healthcare facilities. Experience with medical gas systems installation, maintenance, and testing deletion of your personal information. We offer Medical Aid Contribution, Annual Bonuses, Car Allowance
facility, including sinks, toilets, showers, and medical gas systems. Installation: Install, assemble, and functionality and safety. Medical Gas Systems: Inspect, maintain, and repair medical gas systems, including applicable to healthcare facilities. Experience with medical gas systems installation, maintenance, and testing deletion of your personal information. We offer Medical Aid Contribution, Annual Bonuses, Car Allowance