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Medical Claims Processor
Job Location:
Job Location:
Cape Town - South Africa
Monthly Salary:
Not provided by the employer
Monthly Salary:
Posted:
28 July 2026 (30+ days ago)
Posted:
Application Deadline:
25 October 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Job Intro
Medical Claims Processor - Cape Town WC Western Cape
Key Responsibilities:
Key Responsibilities:
- Manage Healthcare practitioners accounting transactions
- Allocation of payments using medical billing software
- Medical aid & patient follow-ups
- Answering phone calls and calling customers
- Communication with clients patients and schemes
- Ensure all account receipting is up to date and accurate
- Investigation of any short payments rejections
- Management of the entire PMB process and adhering to the PMB policy
- Reporting/communicating any issues in the day-to-day procedures to assigned team leader
- Contribute to daily KPI / operational requirements
Job Specification
To succeed in this role you should have the following skills and experience:
- Matric with relevant administrative experience
- Accounts background will prove advantageous
- Must have Ophthalmology experience
- Good communication skills both written and verbal
- A keen eye for detail and desire to probe further into data
- Deadline-orientated and ability to stick to time constraints
- Working knowledge of SAMA / billing codes & rules
- Working knowledge of medical schemes
- Understanding of prescribed minimum benefits (PMB) process
- Experience in the medical industry advantageous
- MS Office (Excel) proficiency basic/intermediate
- An analytical mind
