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25.08.2024
Out-of-Network Claims and Negotiations Coordinator
Sandton
... 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 for submitted medical claims. Who are ...
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HR Studio (Pty) Ltd
Yesterday
Out-of-Network Claims and Negotiations Coordinator
Sandton
... 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 for submitted medical claims.Who are ...
More »
HR Studio (Pty) Ltd
22.08.2024
Claims Appeals Call Centre Agent
Sandton
... 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. Who are you? You have the ability to communicate clearly ...
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HR Studio (Pty) Ltd
22.08.2024
Eligibility Specialist
Sandton
... 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 achieve positive outcomes. Who are you? You are able to demonstrate the ability to use a ...
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HR Studio (Pty) Ltd
22.08.2024
Claims Analyst
Sandton
... 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 options. Who are you? You know how to communicate clearly ...
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HR Studio (Pty) Ltd
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