|Reference #||Cicelia Strauss|
|Location||Pretoria, Gauteng, South Africa|
Position became vacant due to a transfer
Finalized work in an orderly manner according to priority and date received to manage turnaround time as per service level agreement.
Allocate work equally and fairly between assessors.
Follow up on all batches send for clinical intervention.
Finalize internal and external enquiries.
Complete foreign claims cash focuses after every payment run and reconcile the general ledgers every month.
Amend batches or claim information to be able to process claims successfully as per reservation or system message.
Support assessors in reaching their set norm.
Responsible to mark lines that should be rectified/amended based on an enquiry.
Report all system errors, investigate problems cases and finalize the claims according to the instruction received.
Give feedback to assessors on their performance on a monthly basis.
Two (2) years’ experience in claims administration within the medical scheme industry.
Knowledge of the following:
Medical Schemes Act;
Different price structures used in the industry.
Must possess the following skills:
Good organizing skills;
Good verbal and written English communication skills as well as proficiency in understanding Afrikaans spoken and written communication.
Ability to work in a team.
|Job Closing Date||30/09/2021|