Medical Claims Administrator

Recruiter:

Pillango Placements

Job Ref:

PTA003888/CB

Date posted:

Monday, September 28, 2026

Location:

Durban, South Africa

Salary:

15000 Monthly

SUMMARY:
Are you eager to grow and join a highly specialised team in the area of medical claims and debt management? Become part of an exciting service based solution driven on the back of cutting edge healthcare technology.

POSITION INFO:
As a Medical Claims Administrator, you will be required to deliver an efficient , consistent and accurate administrative medical debt service to clients. You will also provide the Doctors with monitoring and bureau reports that will allow them to have real time data on the financial status of their practice. You will become a trusted business partner ensuring that their cash flow is timeous and that aged debt is at a minimum.

Key Responsibilities:

Capture patient demographics and claims accurately.
Ensure that all claims are accurate before they are submitted to the Medical Schemes
Clear claim rejections as soon as notified.
Reconcile and monitor all remittances.
Follow-up on all outstanding claims.
Correct/resubmit claim rejections.
Maintain a low age analysis.
Follow up on short payments.
Follow up on claims regularly with valid updates at each point of query.
Keep constant communication open with the practice and the client.
Build and maintain relationships with clients.
Monitor and maintain doctors' databases.

Qualifications and Experience

Matric
A relevant administrative qualification is advantageous
2 to 3 years industry experience is essential

Knowledge and Skills

Must have knowledge on PMBs
High level of computer literacy
High level of numeracy
Google Workspace experience is advantageous

The proposed salary for the role is R15k - R20k per month - the final offer will depend on qualifications, experience and skills.

Please apply online in the link provided. We do not consider CVs via Whatsapp or email.

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