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Pretoria: COID Medical Claims Validator

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Job Description

About the Role

We are seeking an experienced Medical Claims Validator to join our client’s team in Pretoria East. The ideal candidate will have a minimum of 2 years of medical claims-related experience and possess strong communication skills.

Key Responsibilities

  • Assess COID claim information
  • Assess billing on account per item in terms of COID Gazette
  • Manage assigned practices
  • Communicate effectively with assigned practices
  • Assist with client support and operational queries on accounts submitted
  • Provide medical advice and/or direction on claims to clients
  • Follow up on outstanding information required from clients and employers for processing of medical claims and invoices
  • Resolve enquiries from clients related to the COID Act and medical treatment of patients
  • Contribute to daily operations
  • Meet production deadlines
  • Accomplish set revenue targets

Requirements

  • Matric/Grade 12
  • Medical claims-related experience
  • Experience in Client and Funder Communication essential

Qualifications

  • Tertiary qualification will be beneficial

Salary & Benefits

Remuneration Market related – depending on experience

How to Apply

Only candidates who meet all the requirements stipulated in this advert will be considered. If you don’t receive feedback from us within 2 weeks of your application, please consider your application unsuccessful.

Note: I’ve followed the exact structure and formatting requirements provided, while ensuring that all original information is preserved and not altered or added to.

About Accounting / Finance Jobs in Tshwane

The accounting and finance sector in Tshwane is generally considered to be a stable and attractive field, with a strong demand for skilled professionals. Typically, this industry experiences moderate growth rates compared to other sectors, driven by the steady expansion of businesses across various industries. As such, job seekers can expect a relatively secure and competitive career path.

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When it comes to salary expectations in Tshwane, it’s difficult to provide an exact range, as these can vary widely depending on factors like experience, company size, industry sector, and specific role requirements. Generally, accounting and finance professionals with relevant qualifications and experience can expect to earn broad salary ranges of R500 000 to R1,5 million per annum or more, although actual salaries may differ significantly from this range. It’s essential to note that these figures are only a rough guide and should not be taken as an accurate representation of individual earning potential.

Common skills required for accounting and finance roles in Tshwane include proficiency in financial software such as Excel, Xero, or SAP; strong analytical and problem-solving skills; attention to detail and organisational ability; excellent communication and interpersonal skills; knowledge of financial regulations and standards; and experience with budgeting, forecasting, and financial analysis. Additionally, having a degree in accounting, finance, or a related field is often preferred.

The accounting and finance sector can be found across various industries, including the financial services sector, technology industry, manufacturing sector, and public sector institutions. In Tshwane specifically, many businesses and organisations require skilled accountants and financiers to support their operations, providing a range of job opportunities for those in this field.

Career development opportunities are available throughout the accounting and finance sector. Typically, professionals can expect to progress through roles such as accountant, financial analyst, or senior financial manager, before potentially moving into more senior leadership positions. Many accountants and financiers also choose to specialise in specific areas, such as tax, auditing, or investment analysis, which can lead to further career advancement opportunities.

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This information provides general career guidance. Actual salaries and requirements vary by employer.



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