Specialist Medical Billing & Claims Administrator

Qetello Holdings; Pretoria; Presencial; ZAR 240.000 - 360.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

21 leave days

Annual bonus

Exposure to specialist-focused billing

Process-driven environment

Descripción de la vacante

Qetello Holdings is seeking a Medical Billing Claims Administrator in Pretoria East to manage specialist billing for private practices and bureaus. You will handle full billing cycles, submit claims, resolve rejections, and ensure accurate ICD-10/CPT coding and PMB modifiers.

The role requires hands-on billing experience, strong communication with clients, and the ability to work under pressure in a fast-paced environment. Competitive benefits accompany a market-aligned salary.

Formación

• Matric / Grade 12
• Minimum 2 years of recent medical billing experience in a Medical Bureau or Specialist Practice
• Direct billing experience for Medical Specialists
• Working knowledge of ICD-10, CPT, and procedure coding
• Medical scheme rules and billing procedures
• PMBs and relevant modifiers
• Computer proficiency: MS Excel, Outlook, and billing systems
• Own reliable transport and valid driver’s license
• High attention to detail and data accuracy
• Able to work under pressure with minimal supervision
• Strong communication and client service skills

Responsabilidades

• Manage full billing cycles for specialist clients
• Submit claims and resolve rejections and queries from medical aids
• Apply ICD-10, CPT, and procedure codes accurately
• Handle PMB claims and apply modifiers correctly
• Liaise professionally with clients, practices, patients, and schemes
• Maintain up-to-date billing records
• Support reconciliations and month-end processes
• Ensure data accuracy, confidentiality, and service excellence

Conocimientos

Medical billing

Specialist billing

ICD-10 coding

CPT coding

PMB rules

Billing systems

Excel

Client service

Educación

Matric / Grade 12

Herramientas

MS Excel

Outlook

Billing software

Descripción del empleo

Qetello Holdings is seeking a Medical Billing Claims Administrator in Pretoria East to manage specialist billing for private practices and bureaus. You will handle full billing cycles, submit claims, resolve rejections, and ensure accurate ICD-10/CPT coding and PMB modifiers.

The role requires hands-on billing experience, strong communication with clients, and the ability to work under pressure in a fast-paced environment. Competitive benefits accompany a market-aligned salary.