Medical Aid Claims Administrator

How2Apply Talent Network
Pretoria West, Gauteng
Full-time
Posted 1 day ago
Full-time Healthcare
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Job Description

You'll keep the front of a private hospital admissions office in Pretoria West organised so the doctors can focus on patients. This role rewards consistency more than flash.

You'll report in Pretoria West. Relocation is not covered for this one.

What your day looks like

  • Chase short payments with medical schemes and patients
  • Answer the phones and send clinical questions to the right nurse or doctor
  • Book appointments and manage the doctor's diary on the practice software
  • Request pre-authorisation for scans, procedures and admissions
  • Check medical aid membership and benefits before each consultation
  • Submit claims electronically and work through the rejection report daily

You'll need

  • Matric
  • Confident with Excel and email
  • Friendly on the phone and firm about outstanding accounts
  • Sound knowledge of ICD-10 coding and medical aid tariff codes

On offer

  • Normal practice hours with most weekends off
  • Bonus linked to collections at billing bureaus
  • Parking on site

How to apply for this job

  1. Make sure the role, the hours and working in Pretoria West really suit you before you apply.
  2. Get these ready, because shortlisted people are asked for them straight away: list of practice and billing systems you have worked on, copy of your ICD-10 or medical terminology certificate plus recent payslip to confirm your current salary.
  3. Fill in the short form below with your name and a phone number you actually answer.
  4. Keep your phone on. Shortlisted applicants are contacted by call, SMS or WhatsApp within 6 working days.

Your application joins the How2Apply talent pool for this role, and we put shortlisted people forward to employers hiring in and around Pretoria West.

Applying is free. Nobody from How2Apply will ever ask you to pay for anything to get this job.

How to stand out

  • Specialist rooms care about the discipline, so say if you've coded for surgeons, anaesthetists or radiologists.
  • Keep your cover note short and error-free; front desk jobs are judged on how neatly you communicate.

Interested in this role?

Apply in 2 minutes. No CV upload needed yet.

Applying is free. How2Apply will never ask you for money.

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Job details
SalaryDiscussed at interview
Job TypeFull-time
LocationPretoria West, Gauteng
CategoryHealthcare
Experience3+ years
Posted2 November 2026
Closing Date2 December 2026
How2Apply Talent Network
Recruiting for employers in Pretoria West

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