Bureau Claims Administrator

Description:

The Purpose of this role is to deliver an efficient , consistent and

accurate administrative medical debt service to our clients.

• 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 remittance advices
• Select correct scheme agreements so that the client is able to post the correct rates annually
• Follow - up on all outstanding claims
• Re-submit outstanding claims that need fixing
• Maintain a low age analysis if not zero
• 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

Requirements:

• 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 remittance advices
• Select correct scheme agreements so that the client is able to post the correct rates annually
• Follow - up on all outstanding claims
• Re-submit outstanding claims that need fixing
• Maintain a low age analysis if not zero
• 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

● Matric and relevant administrative qualification

● G-Suite Experience is advantageous

● 2-3 years Industry knowledge

● Must have knowledge on PMB