Medical Aid Claims Administrator – Fixed-Term

Patients meet you first at this specialist orthopaedic rooms in Mokopane, so calm and clear matters. This is a good step for someone who wants proper routine and a manager who notices good work.

The work is in Mokopane, Limpopo, so you'll need a reliable way to get there every day. Hours are mostly Monday to Friday, with the odd Saturday in busy months.

• Submit claims electronically and work through the rejection report daily
• Check medical aid membership and benefits before each consultation
• Book appointments and manage the doctor's diary on the practice software
• Code consultations and procedures with ICD-10 and CCSA or NHRPL tariffs
• Send monthly statements and age the debtors book
• Answer the phones and send clinical questions to the right nurse or doctor
• Request pre-authorisation for scans, procedures and admissions

• At least 2 years in a medical practice, hospital or billing bureau
• Confident with Excel and email
• Experience on a practice system such as GoodX, Elixir, Medinol or Healthbridge
• Friendly on the phone and firm about outstanding accounts
• Sound knowledge of ICD-10 coding and medical aid tariff codes
• You keep patient information private, every time

• Experience with hospital case management and pre-auth
• Understanding of how HPCSA practitioner and BHF practice numbers are used on claims

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

• Give numbers if you can, such as your rejection rate or how much you cut the 90-day debtors.
• Keep your cover note short and error-free; front desk jobs are judged on how neatly you communicate.