Medical billing, jobs

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Customer Services Executive - Portuguese Speaking

The world s leading medical & security Services Company operating from over 700 sites in 76 countries with 10,000 employees is currently looking for a Customer Services Executive Portuguese Speaking...
pnet.co.za < 16 hours ago

Customer Services Executive - Portuguese Speaking

The world s leading medical & security Services Company operating from over 700 sites in 76 countries with 10,000 employees is currently looking for a Customer Services Executive Portuguese Speaking who is responsible for providing a high quality service to our customers by answering all requests for assistance in a timely and professional manner and according to defined protocols. Key performance areas SUPERVISED CASE MANAGEMENT (ASSISTANCE PLATFORM) Answer all requests for assistance in a timely and professional manner and according to defined protocols. Assess and analyze the nature of the assistance required by the member Document all matters relating to these requests using the telecommunication and computer systems made available Coordinate and manage the case utilising the internal resources of the company and third party providers where necessary. Ensure that the first call procedure is adhered to when allocated to the first call desk. Manage cases for specific client programmes in line with the relevant Operations Procedure Manuals. Identify and coordinate appropriate solutions addressing requests for assistance. Assist with the development of the network of service providers by documenting all updates to existing service provider details as well as new provider information and ensuring this is escalated to JNB GAN. Maintain medical and personal data confidentiality and a professional working environment in the Assistance Centre by ensuring that the clean desk and data protection and destruction policies are adhered to. Ensure all Guarantees of Payment are placed at the time of confirming appointments/ hospitalization, including anticipation of laboratory and specialist consultation for inpatient cases. Immediately act upon any omissions or service failures identified during the course of the case management and ensure appropriate escalation procedures are followed. Meet the required operations productivity measurable including, call statistics and scores, case activity and case audit scores. Preparation for daily transmissions to ensure a comprehensive handover to next shift. Ensure that cases needing escalation are escalated to the relevant Team Leaders in a timely manner Adhere to the mandatory escalation procedure to Team Leader both in and out of regular business hours INTERNAL AND EXTERNAL COMMUNICATION AND RELATIONSHIP MANAGEMENT Positively promote the company to other organisations in all forms of written and verbal communication, with clients and providers. Effectively manage and communicate any issues or workload challenges to the TL. Conference all first calls that are medically oriented to the Coordinating Doctor on duty and security calls to the Regional Security Centre. Immediately inform the Coordinating Doctor and/or the Medical Director in respect of requests received for air transportation. Coordinate, manage and document all actions and communication involing all necessary parties in terms of escalation protocols. Proactively follow up with both the member and/or the agent (as appropriate) within 30 minutes of the time agreed on each course of action scheduled in the course of the case management. Adopt a team approach to case management ensuring cases are actioned for seamless handover and management between shifts. Receive active cases from coordinator predecessor at shift hand over and prioritise follow up required 15 minutes before the start of your shift. GENERAL AND ADMINISTRATIVE DUTIES Maintain clear and accurate case records to ensure that cases are correctly prepared for hand-over to the billing department. Attend ongoing training, operational meetings and team builds as and when required. There may be a necessity for these to be outside normal working times for which you would be paid overtime. Carry out any other reasonable duties as requested by the manager. Manage the financial aspect of a case in order to reduce billing queries to the platform. Billing queries received from Centralised Prague GSS to be managed within 48 hours of receipt. Liaise closely with GAN team when new providers are used. Proactively source all relevant provider details for SPIN updating and billing purposes. Education, Training and Experience Demonstrated understanding of working within a general customer service focused environment 1 years experience preferable Experience within Medical organisation Grade 12 Tertiary qualification Working knowledge of CRM technology IT literate and proficient in the usage of computer software including Microsoft Outlook and Word, and experience working a database is preferable. Able to communicate at all levels General knowledge of world geography but particularly Sub-Saharan Africa desirable Excellent written and spoken English is an explicit requirement of the role, and a second language is an advantage - Portuguese (preferable) I. To apply please could you upload & register your CV ***url*** II. Alternatively you can e-mail your Complete CV with duties , Salary Slip to ***email*** Only short listed applicants will be contacted. Applicants, who have not been contacted within 2 - 3 weeks of the closing date, should assume that their application has not been successful. SM Placements is an equal opportunity employer. or to apply for this vacancy. Recruiter Links Company Profile Company Map Our Adverts Contact Us Website Other positions we have available Strategic Projects Manager Executive Skills Planning Research Manager Executive Customer Services Executive - Portuguese Speaking

2014/08/23 04:11:08 AM

Customer Service Executive - Portuguese Speaking

Employer: SM Placements The world s leading medical & security Services Company operating from over 700 sites in 76 countries with 10,000 employees is currently looking for a Customer Services...
careers24.com < 19 hours ago

Customer Service Executive - Portuguese Speaking

Employer: SM Placements The world s leading medical & security Services Company operating from over 700 sites in 76 countries with 10,000 employees is currently looking for a Customer Services Executive Portuguese Speaking who is responsible for providing a high quality service to our customers by answering all requests for assistance in a timely and professional manner and according to defined protocols. Key performance areas SUPERVISED CASE MANAGEMENT (ASSISTANCE PLATFORM) Answer all requests for assistance in a timely and professional manner and according to defined protocols. Assess and analyze the nature of the assistance required by the member Document all matters relating to these requests using the telecommunication and computer systems made available Coordinate and manage the case utilising the internal resources of the company and third party providers where necessary. Ensure that the first call procedure is adhered to when allocated to the first call desk. Manage cases for specific client programmes in line with the relevant Operations Procedure Manuals. Identify and coordinate appropriate solutions addressing requests for assistance. Assist with the development of the network of service providers by documenting all updates to existing service provider details as well as new provider information and ensuring this is escalated to JNB GAN. Maintain medical and personal data confidentiality and a professional working environment in the Assistance Centre by ensuring that the clean desk and data protection and destruction policies are adhered to. Ensure all Guarantees of Payment are placed at the time of confirming appointments/ hospitalization, including anticipation of laboratory and specialist consultation for inpatient cases. Immediately act upon any omissions or service failures identified during the course of the case management and ensure appropriate escalation procedures are followed. Meet the required operations productivity measurable including, call statistics and scores, case activity and case audit scores. Preparation for daily transmissions to ensure a comprehensive handover to next shift. Ensure that cases needing escalation are escalated to the relevant Team Leaders in a timely manner Adhere to the mandatory escalation procedure to Team Leader both in and out of regular business hours INTERNAL AND EXTERNAL COMMUNICATION AND RELATIONSHIP MANAGEMENT Positively promote the company to other organisations in all forms of written and verbal communication, with clients and providers. Effectively manage and communicate any issues or workload challenges to the TL. Conference all first calls that are medically oriented to the Coordinating Doctor on duty and security calls to the Regional Security Centre. Immediately inform the Coordinating Doctor and/or the Medical Director in respect of requests received for air transportation. Coordinate, manage and document all actions and communication involing all necessary parties in terms of escalation protocols. Proactively follow up with both the member and/or the agent (as appropriate) within 30 minutes of the time agreed on each course of action scheduled in the course of the case management. Adopt a team approach to case management ensuring cases are actioned for seamless handover and management between shifts. Receive active cases from coordinator predecessor at shift hand over and prioritise follow up required 15 minutes before the start of your shift. GENERAL AND ADMINISTRATIVE DUTIES Maintain clear and accurate case records to ensure that cases are correctly prepared for hand-over to the billing department. Attend ongoing training, operational meetings and team builds as and when required. There may be a necessity for these to be outside normal working times for which you would be paid overtime. Carry out any other reasonable duties as requested by the manager. Manage the financial aspect of a case in order to reduce billing queries to the platform. Billing queries received from Centralised Prague GSS to be managed within 48 hours of receipt. Liaise closely with GAN team when new providers are used. Proactively source all relevant provider details for SPIN updating and billing purposes Candidate Requirements Education, Training and Experience Demonstrated understanding of working within a general customer service focused environment 1 years experience preferable Experience within Medical organisation Grade 12 Tertiary qualification Working knowledge of CRM technology IT literate and proficient in the usage of computer software including Microsoft Outlook and Word, and experience working a database is preferable. Able to communicate at all levels General knowledge of world geography but particularly Sub-Saharan Africa desirable Excellent written and spoken English is an explicit requirement of the role, and a second language is an advantage - Portuguese (preferable) To apply please could you upload & register your CV www.smplacements.co.za Alternatively you can e-mail your Complete CV with duties , Salary Slip to Only short listed applicants will be contacted. Applicants, who have not been contacted within 2 - 3 weeks of the closing date, should assume that their application has not been successful. SM Placements is an equal opportunity employer. Apply before Tuesday, October 21, 2014

2014/08/23 01:33:00 AM

Customer Service Executive

Customer Service Executive Midrand, Gauteng Permanent, Customer Service Position R12 -16 000 per month plus benefits A customer services executive is responsible for providing a high quality service...
recruitmentjohannesburg.co.za < 14 hours ago

Customer Service Executive

Customer Service Executive Midrand, Gauteng Permanent, Customer Service Position R12 -16 000 per month plus benefits A customer services executive is responsible for providing a high quality service to customers by answering all requests for assistance in a timely and professional manner and according to defined protocols in this high pressure medical industry. The ideal candidate will be dynamic, high-energy, organized, and able to support cross-functional coordination in a fast pace environment and possess excellent judgment. They will be required to be available during regular business hours, evenings and/or weekends Manage all contacts accurately and timeously and according to company standards Coordinate and manage each case utilizing internal resources and third party providers Strict adherence to SOP s Handovers to next shift through comprehensive daily transmissions Escalation of cases as required Internal and external communication and relationship management Liaison with senior management and medical personnel as required Maintain clear and accurate case records Work as part of a 24/7 shift pattern Managing financial aspect of cases to reduce billing queries REQUIREMENTS: Matric with relevant tertiary qualification A working knowledge of CRM technology IT Literate and proficient in the usage of computer software including databases Excellent communication at all levels General knowledge of world geography but particularly Sub-Saharan Africa Excellent written and spoken English A second language would be a huge advantage in particular Portuguese DISCLAIMER: Only candidates who comply with ALL the above mentioned stipulations will be considered. All successful candidates will be contacted, if not contacted please consider your application unsuccessful.

2014/08/23 06:45:03 AM

Receptionists (Fixed Term positions)

Employer: Netcare Milpark Hospital Netcare Milpark Hospital is an accredited Level 1 Trauma Facility. ROLE SUMMARY Attend to all patients, customers and visitors needs within the professional and...
careers24.com < 19 hours ago

Receptionists (Fixed Term positions)

Employer: Netcare Milpark Hospital Netcare Milpark Hospital is an accredited Level 1 Trauma Facility. ROLE SUMMARY Attend to all patients, customers and visitors needs within the professional and legislative boundaries To handle all admission documentation; contacting relevant persons for verification when required; capturing patient details on system and assisting with reception duties. KEY WORK OUTPUT AND ACCOUNTABILITIES Responsible for the preparation of the Reception area for each working day, and have all the front desk activities fully operational at the start of business hours. Assist patients to accurately complete appropriate forms and documents for the required information. Capture admission and discharge information of patients in a professional, friendly manner, accurately and timorously focusing on patient and visitor s needs. Risk profiling clients for affordability in line with the National Credit Act and requirements. Identify financial risks pro-actively and communicate these to the patient and internal risk chain as per protocol. Collect payments according to protocols and prepare financial registers daily, accountable for receipting functions as per policy. Handle and manage the continuous flow of information between doctors rooms, patients, medical schemes, MHC s and other service providers. Maintain administrative records to the system and report statistics when required. General administration duties as will be required from time to time. Candidate Requirements SKILLS PROFILE EDUCATION Grade 12 or equivalent NQF level 4 qualification WORK EXPERIENCE Reception experience, preferably in a hospital environment. Computer literacy specifically in Microsoft Office. SAP experience will be an added advantage. Accurate data-entry skill Excellent communication skill (articulate and well spoken) KNOWLEDGE Knowledge of hospital environment and billing procedures is an added advantage NETCARE IS AN EQUAL OPPORTUNITY EMPLOYER The Company's approved Employment Equity plan and targets will be considered as part of the recruitment process aligned to the Group s Employment Equity strategy. Netcare actively supports the recruitment of people with disabilities. Interested candidates who meet the above criteria are requested to e-mail a detailed CV to or alternatively fax application details to 086084108 This position reports to: Reception Manager Apply before Tuesday, September 30, 2014

2014/08/23 01:37:55 AM

Claims Handler

Employer: CareerWorx Our client is a legal firm and a provider of insurance claims handling services based in the UK. They currently have vacancies at their office in Brooklyn, Pretoria for Claims...
careers24.com < 19 hours ago

Claims Handler

Employer: CareerWorx Our client is a legal firm and a provider of insurance claims handling services based in the UK. They currently have vacancies at their office in Brooklyn, Pretoria for Claims Handler in their pre-litigation Department and there are exciting opportunities to progress as the organisation grows and expands. Purpose of Role The employees will handle a case load of Road Traffic Accident claims representing the non fault injured client in pursuing a claim for compensation against the at-fault third party. The claims will be allocated to the employees once the initial activity of contracting with the client has been completed until the claim either settles or requires litigation The claims must be handled in accordance with all court rules, client protocols and internal procedures. Approximately 25 claims a month will be allocated to the employee. (For the sake of clarity it is expected that each employee will carry a caseload of approximately 175 current cases.) Key activities The key activities involved can be summarised as follows: Telephoning the client upon receipt of the instruction to confirm the accident circumstances, the injuries sustained and the financial losses associated with the accident. Recover evidence from the client relating to the financial losses and to prepare a schedule of loss. Recover the medicolegal report from the agency. Review the medical report and evidence relating to financial loss and advise the client on the value of their claim and the prospects of recovery. Telephone the client to go through the advice. Disclose evidence and seek settlement of the clients claim. Main Duties and Responsibilities To manage all client work allocated in accordance with the detailed procedures and quality standards contained in the firm's workflow and client protocol. Ensure that client work is progressed efficiently and client is kept proactively informed where appropriate. Ensure confidentiality of all firm's clients and client documentation and information. To achieve agreed levels of billing and time recording. To comply with all professional rules relating to the professional code of conduct. Build excellent working relationships with external suppliers. To proactively take responsibility for self-development and CPD. Proactively managing the client's expectations. Using clear and plain explanations and terms, with a friendly, empathetic and reassuring attitude. Active listening and communication style. Highly professional manner. Reflect the brand image and customer ethos of our client. Working hours is UK time: 9am 5pm RSA time: April Sept: 10am 6 pm Oct March: 11am 7pm Skills and Abilities Fluency in English is absolutely essential as all clients will be UK residents Case Management experience Experience in drafting of letters RAF experience (Advantage) Computer literacy crucial and experience of case management systems will be an advantage Ability to work as a member of a team Ability to communicate efficiently with clients by telephone Professional manner Ability to work under pressure, attention to detail is important. Must be able to use own initiative and prioritise Flexibility in work content Enthusiasm and trustworthiness. Energy, drive and a positive outlook on life Please note that this is a target driven and high pressure environment. Performance bonuses are paid out every three months after probation period of 4 months. First bonus will only be after 6 months of employment. If you are interested in this position and meet the requirements, please send your CV in Word format. Only shortlisted candidates will be contacted within the next two weeks. Apply before Tuesday, September 30, 2014

2014/08/23 01:26:31 AM

Att: Doctors only- We so medical billing for you.

DOCTORS BILLING Good day Kindly see attached or follow the link below to go onto our website. we are a company called - Professional billing. We don't charge a percentage of what you claim, like most...
gumtree.co.za 19/08/2014

Att: Doctors only- We so medical billing for you.

DOCTORS BILLING Good day Kindly see attached or follow the link below to go onto our website. we are a company called - Professional billing. We don't charge a percentage of what you claim, like most bureaus... we charge as set fee. Fees and rates can be negotiated depending on the amount of patients seen monthly. We do everything: Billing, payments, accounts, month ends.....and much more! Kind regards LINK: https://medicalaid4billing. wix .com/professionalbilling

2014/08/19 01:24:31 PM

Billing Clerk Required

Our client is a provider of Invoicing and Collections Services to medical professionals in private practice. They are currently looking for a full time Office Administrator to join them. The ideal...
gumtree.co.za 20/08/2014

Billing Clerk Required

Our client is a provider of Invoicing and Collections Services to medical professionals in private practice. They are currently looking for a full time Office Administrator to join them. The ideal applicant will be professional, independent and organised. Daily duties will include but not be limited to: - Liaising with clients - Corresponding by phone and email - Raising invoices - Problem solving - Checking of invoices - Producing reports Applicants must also have: - Must have a professional phone manner - Good computer skills - Work well independently - Can prioritise work load - Good time management - Good organisation skills to apply, email your CV to:

2014/08/20 06:59:00 AM

Billing Clerk Required

Billing Clerk Required Our client is a provider of Invoicing and Collections Services to medical professionals in private practice. They are currently looking for a full time Office Administrator to...
justthejob.co.za 19/08/2014

Billing Clerk Required

Billing Clerk Required Our client is a provider of Invoicing and Collections Services to medical professionals in private practice. They are currently looking for a full time Office Administrator to join them. The ideal applicant will be professional, independent and organised. Daily duties will include but not be limited to: - Liaising with clients - Corresponding by phone and email - Raising invoices - Problem solving - Checking of invoices - Producing reports Applicants must also have: - Must have a professional phone manner - Good computer skills - Work well independently - Can prioritise work load - Good time management - Good organisation skills

2014/08/19 03:56:39 PM

MEDICAL BILLING ADMINISTRATOR

LET ME DO YOUR MEDICAL BILLING FOR YOU Outsourcing is a common practice when it comes to medical billing . Have YOU ever considered outsourcing your medical billing?
gumtree.co.za 14/08/2014

MEDICAL BILLING ADMINISTRATOR

LET ME DO YOUR MEDICAL BILLING FOR YOU Outsourcing is a common practice when it comes to medical billing . Have YOU ever considered outsourcing your medical billing?

2014/08/14 04:06:57 PM

Portfolio Manager (Medical Aid) RE, 120 FAIS cred

Opportunity to join leading insurance firm in North Johannesburg. Matric 120 FAIS credits RE Reliable Transport Interact with corporate clients and medical aid members regarding inquiries. Maintain...
careerjunction.co.za 19/08/2014

Portfolio Manager (Medical Aid) RE, 120 FAIS cred

Opportunity to join leading insurance firm in North Johannesburg. Matric 120 FAIS credits RE Reliable Transport Interact with corporate clients and medical aid members regarding inquiries. Maintain relations with corporate clients. Ensure new business targets are achieved. Submit CV to: anette. rosslee @ eoh.co.za Primary Duties: Manage a portfolio of corporate clients and interact with medical aid members Maintaining relations with corporate clients, medical schemes and ensure new business departmental targets is achieved. HR/Payroll Services: Monthly visitations to selected members. Telephone contact with corporate clients. Medical scheme stationary. Wellness days. Reports. Corporate Health Reviews. Client Queries: Conduct on-site visits at appointed corporate clients, collection of application forms, claims, etc. Assist new employees with correct option choices and or plans. Supervise client queries with back office support. Claims and Queries: Submit claims collected from clients to the call center for submission to medical schemes. Support new & Existing members: Perform link between member and administrator (For new and existing members) Addition and Deletion of Dependants: Assist with processing of addition when requested to do from call centre. Billing Management: Assist employer groups to ensure discrepancies are resolved. New Business (As required): Advise leads and new members w.r.t scheme benefits Assist with addition of new small companies to company portfolio Sales Targets Presentations and proposals: Prepare PowerPoint presentations to meet specific presentation needs. Set up presentation venue Conduct presentations Relationship: Maintenance of relationships with corporate clients, medical schemes and life companies where applicable - Quotations -Year-end review presentations and training -Arranging appointments for directors -Administration For more information please click on the Request More Information button at the bottom of the advert and attach your documents. To apply register your CV on our website (www. tricruit. co. za / submit . html) OR E-mail your CV to Anette ( anette. rosslee @ eoh.co.za ) Alternative contact details: Switchboard: 0860 ERS JHB (0860 377 542) or 011 479 8780 (O/H) EOH Tricruit is a market leader in the permanent and contracting recruitment solutions provider in the SA Business space for over 16 years! Voted Best Recruitment Solutions Agency in South Africa at AMARA 2010 awards and 1 st runner up in 2012 ! The EOH Tricruit team is renowned for their integrity, passion, commitment, focus and dedication as well as their incredible resourcefulness and positive results. Their motto is: "Our business is people; people are our customers, our product and our priority!" Your application will be handled with the greatest of confidence, efficiency and professionalism. EOH Tricruit is part of the EOH Group of companies!

2014/08/19 11:28:52 AM

Medical Billing capturing

A vacancy exists in our company for an experienced person in Medical Billing. A market related salary is offered for a suitably qualified candidate. Please forward your CV via email.
gumtree.co.za 31/07/2014

Medical Billing capturing

A vacancy exists in our company for an experienced person in Medical Billing. A market related salary is offered for a suitably qualified candidate. Please forward your CV via email.

2014/07/31 01:39:42 PM

Medical Reception / Office Management

Medical Reception / Office Management Office management tasks needed: Follow up with medical aid claims queries Confirmation of patient details, Billing of accounts Pre- authorisation from medical...
justthejob.co.za 15/08/2014

Medical Reception / Office Management

Medical Reception / Office Management Office management tasks needed: Follow up with medical aid claims queries Confirmation of patient details, Billing of accounts Pre- authorisation from medical aids Signing of consent forms, Confirmation of theatre lists Dicta-typing of post operation notes and referral letters Follow up on patient accounts The ideal candidate: Has soft skills in being kind to patients yet being firm with payment of accounts and must be well groomed Confidential and discreet in nature Conducts themselves in a professional manner Computer program: Medimass, Office, Excel, Powerpoint, e-mail General ad hoc admin skills Salary between R12 000 R15 000 neg To apply directly for this position please email a detailed CV to:

2014/08/15 02:11:29 AM

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