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Pretoria: Medical Claims Validator posted by Medical Resources Group (Pty) Ltd

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Job Description

About the Role

Medical Resources Group (Pty) Ltd is seeking a highly skilled Medical Claims Validator to join their team in Pretoria East. As a key member of the claims administration department, you will be responsible for assessing COID claim information, managing accounts, and providing medical advice to clients.

Key Responsibilities

  • Assess COID claim information
  • Practice management of assigned practices
  • Effective communication with assigned practices
  • 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
  • Adhere to production deadlines
  • Assist to accomplish set revenue targets
  • Assist with training of newly appointed staff in the same division

Requirements

  • Minimum 2 years Medical claims related experience
  • Matric/Grade 12
  • Experience in Client and Funder Communication essential
  • Medical claims related experience will be essential

Qualifications

  • Matric / Grade 12
  • Tertiary qualification will be beneficial

Salary & Benefits

Market related – depending on experience

How to Apply

Click the green “Go Apply” button below to apply directly online with the employer.

About Other IT/Computer Jobs in Gauteng

The IT and computer industry is one of the most dynamic and growing sectors in Gauteng, with a thriving job market that offers a wide range of opportunities for career advancement.

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In terms of salary ranges, IT professionals in Gauteng can expect to earn anywhere from R800 000 per annum for junior positions to over R2 million for senior executives. The average salary for software engineers is around R1.5 million, while data analysts can earn between R900 000 and R1.2 million. With experience and skills, IT professionals in Gauteng can expect significant salary increases, with some roles offering bonuses and benefits that can increase their overall remuneration.

To succeed in the IT industry in Gauteng, candidates need to possess a range of key skills, including programming languages such as Java, Python, and C++, as well as experience with databases, cloud computing, and cybersecurity. Strong problem-solving skills, attention to detail, and excellent communication skills are also essential for success in this field. Additionally, knowledge of ITIL (Information Technology Infrastructure Library) and Agile methodologies can be highly valued by employers.

Several major companies and industries in Gauteng are currently hiring IT professionals, including technology firms such as Microsoft, IBM, and Oracle, as well as banks and financial institutions like Standard Bank and Nedbank. The finance industry is also a significant employer of IT staff, with roles ranging from software development to data analytics and cybersecurity.

Career growth opportunities are abundant in the IT industry in Gauteng, with many companies investing heavily in employee training and development programs. With experience and skills, IT professionals can move into senior leadership positions or start their own businesses, while also pursuing further education and certifications. The Johannesburg Stock Exchange (JSE) is also a significant employer of IT staff, with roles ranging from software development to data analytics and cybersecurity.

Overall, the IT industry in Gauteng offers a wide range of exciting career opportunities for job seekers with the right skills and experience. With salaries that are competitive with those offered by major companies globally, there has never been a better time to pursue a career in this dynamic and rapidly evolving field.

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



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