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94 Medical Claims Jobs

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Specialist - Pharmaceutical Benefit Management H2R Africa - Pretoria To perform drug utilisation review and actively manage and co-ordinate the approval of a members chronic medicine and to ensure that he/she has access to this treatment within the available scheme benefit...
Medical Claims Clinical Auditor (EE) Headhunters - Portelizabeth Act as clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization). The incumbent must be registered... 23 days ago
Client Support for US Healthcare Account (Medical Billing) WatersEdge Solutions - Johannesburg Ensure you have at least 3 to 4 hours of power backup for laptop, with 2nd screen and internet connectivity, when load shedding happens. Provides customer support through different communication channels... 17 days ago
Billing Manager - Private Hospital Deka Minas Pty Ltd - Cape Town Please note that by submitting your personal information to Deka Minas you free-willingly issue the business consent to make use of such data for the specific purpose of securing you either permanent or... 24 days ago
MEDICAL RECEPTIONIST | BLOEMFONTEIN MedE Recruit - Bloemfontein As a Medical Receptionist, you'll play a crucial role in ensuring smooth operations within the practice. Your responsibilities will include managing patient inquiries, scheduling appointments, handling... 10 days ago
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Outbound Client Relations Consultant (Medical) Pillango Placements - Johannesburg Develop strong and trusted relationships with providers and unlock value proposition through continuous high value interactions with them, supported by actionable insights In this pivotal role, you serve... 20000 Monthly 13 days ago
Pharmaceutical Benefit Management H2R Africa - Pretoria Perform drug utilization review (DUR) on all new and/ or changed in chronic and acute prescriptions in accordance with the relevant medicine formulary. Follow up on additional information requested from... 3 days ago
Inbound Client Contact Centre Administrator Greys Personnel - Cape Town To ensure relevant processes is adhered to and the policy option and commencement date is checked before providing information and advice and to ensure the applicable potential claim disclosure is communicated... R11 000 Monthly 16 days ago
Medical Bureau Accounts Administrator Wenz Recruitment - durbanville, Western Cape Knowledge of the medical environment: ICD10 codes, Billing of RPL procedure codes, application of modifiers, PMB process and Excel competent. Minimum 3 years debtors and collections experience (Experience... R16 000 - R20 000 per month More than 30 days ago
Team Leader, Medical Claims Standard Bank Group - Roodepoort, Gauteng, South Africa Please note: All our recruitment processes comply with the applicable local laws and regulations. We will never ask for money or any from of payment as part of our recruitment process. If you experience... More than 30 days ago
Junior Employee Benefits Administrator - (must have advanced Excel skills) Execuplace Appointments - CapeTown Ensure data records are always correct with regards to members whose insured benefits are in excess of the Medical Free Cover Limit on each scheme Responsible for the reconciliation of the monthly membership... R10 000 - R16 000 More than 30 days ago

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