Medical Billing Claims Administrator, Pretoria

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

How to Apply Email your CV to: Subject line:

Medical Billing Claims Administrator– Mooikloof

Please note: Only candidates with direct specialist billing experience will be considered. If you do not hear back from us within 2 weeks, please consider your application unsuccessful.

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