Medical Claims Analyst

Cape Town FULL TIME R25,000 - R35,000 / Month

Job Description

As a Medical Claims Analyst, you'll be instrumental in ensuring our claims processing is accurate and timely. Collaborate with healthcare providers and patients to resolve any issues and contribute to our mission of providing excellent healthcare services.

Responsibilities

  • Review and validate medical claims for accuracy.
  • Communicate with healthcare providers regarding claim status.
  • Identify and rectify issues in claims processing.
  • Prepare reports on claims trends and issues.
  • Support the appeals process for denied claims.
  • Assist with training new claims analysts.
  • Monitor compliance with internal and external auditing processes.
  • Foster positive relationships with healthcare professionals.
  • Adapt to changes in healthcare legislation that impact the claims process.
  • Participate in team meetings and contribute to process improvements.

Advantageous

  • Familiarity with electronic health records systems: Knowledge of working with EHR systems to process claims.
  • Experience with coding systems (ICD-10, CPT): Understanding of medical coding standards and practices.

Benefits

  • Competitive salary with performance bonuses
  • Health and wellness benefits
  • Retirement contributions
  • Support for continuous education and training

Company Culture

  • Teamwork: We believe in collaboration and support, fostering a team-oriented environment.
  • Professional Development: We are committed to our employees' growth through learning and development opportunities.
  • Diversity: Our workplace values diversity and inclusivity, welcoming diverse perspectives.
Status: Closed