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23.08.2024
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
12.08.2024
Senior Property Financial Accountant
Sandton
We’re looking for… A Senior Financial Accountant that plays a pivotal role in the financial success of the company by maintaining the company’s accounting processes, records, and financial data. Who are you? You pay strong attention to detail and accuracy. You efficiently utilize automated processes ...
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HR Studio (Pty) Ltd
25.08.2024
Out-of-Network Claims and Negotiations Coordinator
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
22.08.2024
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
22.08.2024
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
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