Medical Claims Jobs in South Africa

Medical Claims Clinical Auditor (ee) NEW

Port Elizabeth

 Monthly

Role Purpose

The purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus on reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a period of 6 months only.
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Specialist: Pharmaceutical Benefit Management

 Mna Recruitment

Gauteng

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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Specialist Gauteng

 Mna Recruitment

Gauteng

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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Clinical Auditor Port Elizabeth

 Hire Power Recruitment

South Africa

and high-cost medication appropriateness. CUSTOMER SERVICE Investigate hospital claim queries within

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Clinical Auditor

 Hire Power Recruitment

South Africa

and high-cost medication appropriateness. CUSTOMER SERVICE Investigate hospital claim queries within

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Broker Consultant

Cape Town City Centre

 R10 000 Monthly

Requirements

• Experience as a broker consultant in the relevant field.
• At least 2 years of experience
• Matric
• Additional certificate/ qualification is beneficial.
• Computer experience is required.