CLAIMS CLERK – St Anne’s Hospital 59 views

Applications are invited from suitably qualified candidates to fill in the above position that has arisen in the organization.

Duties and Responsibilities

• Completes claim forms ensuring that all sections have been correctly filled.
• Checks accuracy and completeness of claim forms.
• Timely submission of claim forms to medical aids.
• Transfers patient balances to medical aid accounts or corporate accounts in the system.
• Attends to medical aid queries on claims.
• Correct and re-submit claims for rejected claims.
• Updates and circulates claims report weekly.
• Ensures that all medical aid patients have been authorised on admission.
• Ensures that completed claims conform to AHFoZ standards or other regulations as stipulated.
• Participates in stock take.

Qualifications and Experience

• Certificate in Claims and Benefits Processing/ Accounting.
• 1 – 2 years’ experience in a similar role within the health sector.
• Experience with Health 263 is a must.
• Attention to detail.
• Good communication and personality skills.
• Knowledge of computer applications such as word processing, spreadsheets and financial software.
• Organised.