PERMANENT CONTRACTabout 2 months ago

Medical Billing Claims Administrator

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South Africa

Job Description

Medical Billing Claims Administrator | Job Mail

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Medical Billing Claims Administrator

Medical Resources Group (Pty) Ltd

Saturday, 16 May 2026

IT/Computer - Other IT/Computer

Pretoria

FULL TIME

Job Specification

Company

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Job Summary

Medical Billing Claims Administrator

Location: Mooikloof, Pretoria East

Salary: Market Related

Specialisation: Specialist Medical Billing (Private Practice & Bureau)

About the Opportunity

A well-established Medical Bureau based in Pretoria East is looking for a Medical Billing Claims Administrator with recent, hands-on experience in specialist billing . This role is ideal for someone who thrives in a fast-paced, detail-oriented environment and understands the intricacies of private specialist claims, medical aid protocols, and clinical coding.

Key Responsibilities

Manage full billing cycles for specialist clients

Submit claims and resolve rejections and queries from medical aids

Apply ICD-10, CPT, and procedure codes accurately

Handle PMB claims and apply modifiers correctly

Liaise professionally with clients, practices, patients, and schemes

Maintain up-to-date billing records

Support reconciliations and month-end processes

Ensure data accuracy, confidentiality, and service excellence

Minimum Requirements (All are essential)

Matric / Grade 12

Minimum 2 years of recent medical billing experience in a Medical Bureau or Specialist Practice

Direct billing experience for Medical Specialists

Working knowledge of:

ICD-10, CPT, and procedure coding

Medical scheme rules and billing procedures

PMBs and relevant modifiers

Computer proficiency: MS Excel, Outlook, and billing systems

Own reliable transport and valid driver’s license

High attention to detail and data accuracy

Able to work under pressure with minimal supervision

Strong communication and client service skills

What the Client Offers

Competitive monthly salary based on experience

21 days of annual leave

Annual performance-based bonus

Exposure to specialist-focused billing and claims

Supportive, process-driven work environment

[Click the Apply button below to see the contact details]

Expert Application Advice

Technical proficiency — Apply Now expects hands-on mastery of Excel. Don't just list them: describe a concrete project where you used them and the outcome delivered.

Positioning — Your cover letter must answer one question: why YOU for THIS specific role right NOW? Avoid generic templates — one sentence on what you specifically bring beats three generic paragraphs.

Professional registration — Clearly state your training institution and its accreditation. For NGO health roles, additional community health or emergency care training is often decisive.

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Medical Billing Claims Administrator

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