Overview

Medical Billing Claims Administrator

Location: Pretoria East

Salary: Market Related

Specialisation: Specialist Medical Billing (Private Practice & Bureau)

A well-established Medical Bureau based in Pretoria East is looking for a Medical Billing Claims Administrator with recent, hands-on experience in specialist billing. This role is ideal for someone who thrives in a fast-paced, detail-oriented environment and understands the intricacies of private specialist claims, medical aid protocols, and clinical coding.

Responsibilities

• 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 recor...