Medical Claims & Practice Administration Specialist

AllSpes (Pty) Ltd; Centurion; On-site; ZAR 240,000 - 360,000; Full time

Job summary

A healthcare management firm in Centurion is seeking an individual to manage various practices assigned to the Bureau Officer. Responsibilities include reconciling receipts, registering practitioners on medical scheme websites, and handling patient inquiries. Ideal candidates will have strong organizational skills, excellent communication abilities, and in-depth knowledge of the VeriClaim system. This role promises to enhance relationships with clients and ensure effective management of practice policies.

Responsibilities

• Reconciliation of receipts and payments onto the VeriClaim system within two working days.
• Registering new Bureau practitioners on medical schemes websites.
• Obtain funder remittances from scheme websites regularly.
• Send monthly statements via the VeriClaim system to patients.
• Follow up on patient liability outstanding balances.
• Handle telephonic and email account enquiries efficiently.
• Manage each allocated practice's age analysis to limit bad debt.
• Ensure adherence to all practice policies and procedures.
• Maintain confidentiality of client and other information.
• Provide feedback to practices via system notes and calls.
• Keep the Bureau Manager informed of sensitive issues.
• Maintain a professional attitude with clients and colleagues.
• Report any VeriClaim technical issues via the ticketing system.
• Maintain knowledge of healthcare issues and the VeriClaim system.

Skills

Excellent organizational and time management skills

Effective verbal and written communication skills

Excellent telephone etiquette

Deadline focused

Analytical thinker

Customer focused

Problem solving ability

Knowledge of the private medical schemes industry

Expert knowledge of the VeriClaim system

Working knowledge of Outlook, Word and Excel (MS Office Product Suite)

Job description

A healthcare management firm in Centurion is seeking an individual to manage various practices assigned to the Bureau Officer. Responsibilities include reconciling receipts, registering practitioners on medical scheme websites, and handling patient inquiries. Ideal candidates will have strong organizational skills, excellent communication abilities, and in-depth knowledge of the VeriClaim system. This role promises to enhance relationships with clients and ensure effective management of practice policies.