Medical Aid Claims Administrator – Permanent

Every claim you code correctly at this private hospital admissions office in Gqeberha gets paid faster. It's the kind of job where doing the basics well every day gets you noticed.

The work is in Gqeberha, Eastern Cape, so you'll need a reliable way to get there every day. There's a probation period of three months before the contract is confirmed.

• Answer the phones and send clinical questions to the right nurse or doctor
• Submit claims electronically and work through the rejection report daily
• Book appointments and manage the doctor's diary on the practice software
• Take payments, issue receipts and balance the cash-up at close
• Send monthly statements and age the debtors book
• Check medical aid membership and benefits before each consultation
• Request pre-authorisation for scans, procedures and admissions

• Confident with Excel and email
• Experience on a practice system such as GoodX, Elixir, Medinol or Healthbridge
• Matric
• At least 2 years in a medical practice, hospital or billing bureau
• You keep patient information private, every time

• Medical terminology or clinical coding certificate
• Understanding of how HPCSA practitioner and BHF practice numbers are used on claims
• Bookkeeping basics or Pastel knowledge for practice accounts

• Normal practice hours with most weekends off
• Free medical consultations for staff at some practices
• Bonus linked to collections at billing bureaus
• Parking on site

• Give numbers if you can, such as your rejection rate or how much you cut the 90-day debtors.
• Specialist rooms care about the discipline, so say if you've coded for surgeons, anaesthetists or radiologists.