advertisements
23.08.2024
Claims Appeals Call Centre Agent
Sandton
... experts to obtain benefit and/or clinical opinions and interpretations of complex cases.Boxes to tick…MatricDiploma or equivalent; associate’s degree preferred2+ years grievance and appeals, claims or related healthcare experience, preferably in a carrier or TPA settingFamiliarity with CMS ...
More »
HR Studio (Pty) Ltd
23.08.2024
Management Accountant
Sandton
... managers to enhance their financial understanding and decision making.Team Collaboration and Development:Collaborate with cross-functional teams to support business objectives and initiatives.Mentor and develop junior finance team members, fostering a culture of continuous improvement and ...
More »
HR Studio (Pty) Ltd
23.08.2024
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 ...
More »
HR Studio (Pty) Ltd
23.08.2024
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 ...
More »
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 ...
More »
HR Studio (Pty) Ltd
advertisements