Medical Aid Claims Administrator

Every claim you code correctly at this private hospital admissions office in Umhlanga gets paid faster. You don't need to be the loudest person in the room, just the one others can count on.

Home base is a private hospital admissions office on the Umhlanga side of KwaZulu-Natal. Start date: as soon as possible for the right person.

• Keep patient records locked and share them only with written consent
• Code consultations and procedures with ICD-10 and CCSA or NHRPL tariffs
• Chase short payments with medical schemes and patients
• Open patient files and capture consent forms in line with POPIA
• Check medical aid membership and benefits before each consultation
• Take payments, issue receipts and balance the cash-up at close

• Friendly on the phone and firm about outstanding accounts
• You keep patient information private, every time
• Experience on a practice system such as GoodX, Elixir, Medinol or Healthbridge
• Sound knowledge of ICD-10 coding and medical aid tariff codes

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

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

• Name the billing software you know in your CV headline; practices want someone who needs no system training.
• Specialist rooms care about the discipline, so say if you've coded for surgeons, anaesthetists or radiologists.