Claims Administrator

Med Core Billing; Pretoria; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A medical billing company based in Pretoria is seeking a Claims Administrator. The successful candidate will provide exceptional client service, code and bill medical claims, and ensure compliance with billing guidelines. A matric certificate and at least 2 years of relevant experience are required. This full-time position requires proficiency in Microsoft Office and a valid driver's license.

Benefits

Opportunity to develop your career in medical billing

Supportive work environment

Qualifications

• Minimum 2 years' relevant experience required.
• Knowledge of medical schemes, ICD-10, CPT, procedure codes, and modifiers.

Responsibilities

• Provide exceptional client service via email and phone.
• Code and bill medical claims according to billing guidelines.
• Accurately allocate and reconcile payments.

Skills

Client service

Attention to detail

Organizational skills

Analytical abilities

Communication skills

Education

Matric (Grade 12) or equivalent

Valid driver's license

Tools

Microsoft Office

GoodX

Job description

Join Our Team as a Claims AdministratorAre you detail-oriented, organized, and passionate about providing excellent client service?

Key Responsibilities

• Provide exceptional client service via email and phone
• Code and bill medical claims according to billing guidelines
• Accurately allocate and reconcile payments
• Complete age analyses and maintain up-to-date records
• Follow up on claim rejections, short payments, and client queries
• Ensure all tasks comply with the company Standard Operating Procedures (SOPs)
• Assist with procedural and administrative support as required

Requirements

• Matric (Grade 12) or equivalent
• Minimum 2 years' relevant experience
• Valid driver's license
• Knowledge of medical schemes, ICD-10, CPT, procedure codes, and modifiers
• Proficiency in Microsoft Office
• Strong attention to detail, organizational skills, and analytical abilities
• Experience with GoodX is an advantage

Personal Attributes

• Professional, proactive, and service-oriented
• Able to work independently and collaboratively
• Excellent communication and problem-solving skills
• Reliable, with own transport

Why Join Us?

• Opportunity to develop your career in medical billing
• Supportive and professional work environment
• Exposure to a wide variety of medical schemes and claims processing
• If you thrive in a fast-paced environment, enjoy problem-solving, and want to make a difference in client service, we want to hear from you

To Apply

Send an updated CV along with all supporting documentation, including your matric certificate and driver's license, to Tracy at For any enquiries, call Please note : incomplete applications will not be considered.

Job Details

• Job Type : Full-time
• Pay : From R
• Education : High school or equivalent (Required)
• Experience : relevant : 2 years (Required)
• License / Certification : driver's license (Required)
• Work Location : In person