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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
... 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 you? You can demonstrate the ability to influence stakeholders and achieve mutually agreeable outcomes. You can ...
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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
Account Manager
Sandton
To represent Client’s interest at the Agency, and the Agency’s interest at the Client, with utmost professionalism and a level of maturity. Job Title: Account Manager Job Description: Key Responsibilities: To execute all the marketing communication needs and activities of the Client(s) inside the ...
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Dentsu Aegis Network
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
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