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Today
Claims Appeals Call Centre Agent
Sandton
We’re looking for… An Appeals Specialist that will analyze and resolve verbal and written claims and authorization appeals through coordination with providers and members. You will be preparing responses within required timeframes and track the status of all appeals with exemplary record-keeping. ...
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HR Studio (Pty) Ltd
Today
Network Contracting Consultant
Sandton
We’re looking for… A Provider Contracting and Negotiating Specialist who will be responsible for working on behalf of the client to negotiate their out of network claims when applicable. You will work directly with out of network providers to work out a single case agreement/fee or direct contract ...
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HR Studio (Pty) Ltd
Today
Eligibility Specialist
Sandton
We’re looking for… An Eligibility Specialist that will be able to process benefit entries and validate information. You will respond to eligibility and other enrollment related issues involving member specific information; partner directly with clients, and/or vendors, to resolve problems and ...
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HR Studio (Pty) Ltd
Today
Claims Analyst
Sandton
We’re looking for… A Claims Analyst that will provide timely and accurate processing and adjudication of claims. You will be doing research and processing claims or related requests for covered members or providers across various products including medical, pharmacy, vision, and related healthcare ...
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HR Studio (Pty) Ltd
Yesterday
Credit Contoller
Sandton
To minimize the financial risk of the company by ensuring maximum collection of outstanding debt. The incumbent will take responsibility for the credit portfolio allocated, however would contribute to the overall collections and performance of the team. Job Requirements: Grade 12. Credit ...
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Clinix Health Group (Pty) Ltd
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