Medical Billing Claims Administrator

SUMMARY:
-

POSITION INFO:

Medical Billing Claims Administrator

Location: Mooikloof, Pretoria East

Salary: Market Related

Specialisation: Specialist Medical Billing (Private Practice & Bureau)

About the Opportunity

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.

Key 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 records

• Support reconciliations and month-end processes

• Ensure data accuracy, confidentiality, and service excellence

Minimum Requirements (All are essential)

• 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

What the Client Offers

• Competitive monthly salary based on experience

• 21 days of annual leave

• Annual performance-based bonus

• Exposure to specialist-focused billing and claims

• Supportive, process-driven work environment

How to Apply

Email your CV to:
Subject line: Medical Billing Claims Administrator – Mooikloof

Please note: Only candidates with direct specialist billing experience will be considered. If you do not hear back from us within 2 weeks, please consider your application unsuccessful.