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Healthbridge: Medical Bureau Claims Administrator Job Vacancy in Durban

Full Time
  • Full Time
  • Durban

Website Healthbridge

Through cloud-based clinical and billing software solutions, Healthbridge is constantly innovating to help medical professionals get paid faster, provide better patient experiences, and run good businesses. Our goal is to make a difference in South African healthcare and through our efforts, we have saved medical professionals more than R1 billion a year in operational efficiencies.

The purpose of this role is to deliver an efficient, consistent and accurate administrative medical debt service to our clients. You will also provide the Doctors with monitoring and bureau reports that will allow him/ her to have real time data on the financial status of his/her practice. You will become his/ her trusted business partner ensuring that his cash flow is timeous and that his/ her aged debt is at a minimum.

Responsibilities

  • Key responsibilities include:
  • Capture patient demographics and claims accurately.
  • Ensure that all claims are accurate before they are submitted to the medical Schemes
  • Clear claim rejections as soon as you are notified.
  • Reconcile and monitor all remittances.
  • Follow-up on all outstanding claims.
  • Correct/resubmit claim rejections.
  • Maintain a low age analysis.
  • Follow up on short payments.
  • Follow up on claims regularly with valid updates at each point of query.
  • Keep constant communication open with the practice and the client.
  • Build and maintain relationships with clients.
  • Monitor and maintain doctors’ databases.

Qualifications

  • Matric
  • A relevant administrative qualification is advantageous
  • 2 to 3 years industry experience is essential
  • Must have knowledge on PMBs

Applications will only be considered if submitted via https://healthbridge.co.za/careers/

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