Medical Aid Claims Administrator

At a specialist orthopaedic rooms in Somerset West, your job is clean files, correct codes and money that comes in on time. Someone who likes a bit of variety, but also likes doing things the right way, will enjoy this.

You'll report in Somerset West. Relocation is not covered for this one. Weekend work is on a roster, so you won't be on every weekend.

• Open patient files and capture consent forms in line with POPIA
• Answer the phones and send clinical questions to the right nurse or doctor
• Code consultations and procedures with ICD-10 and CCSA or NHRPL tariffs
• Keep patient records locked and share them only with written consent
• Check medical aid membership and benefits before each consultation
• Chase short payments with medical schemes and patients
• Book appointments and manage the doctor's diary on the practice software

• Sound knowledge of ICD-10 coding and medical aid tariff codes
• Confident with Excel and email
• 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
• Experience with hospital case management and pre-auth

• Bonus linked to collections at billing bureaus
• Free medical consultations for staff at some practices
• Parking on site
• 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.