Function Other Facility Position Claim Submission Specialist Team Lead Introduction

A vacancy exists for a Team Lead – Claim Submission Specialist, based at our Cape Town Regional office reporting to the National Case Manager.

The successful candidate will be responsible for leading and managing a team of Claim Submission Specialists to ensure optimal claims submission, revenue realisation, and quality performance. The role focuses on driving operational excellence, compliance, efficiency, and stakeholder satisfaction within the claim’s submission function.

Critical Outputs

Ensuring the appropriate optimisation of revenue:

Ensure accurate and complete claim submission and optimal funder contract interpretation

Monitor billing accuracy, coding quality, and claim completeness

Oversee management of rejections, short payments, and escalations

Analyse revenue cycle reports DNFB, DSO, coding audits) and implement improvem...