Medical Billing Clerk

apartmentMedical Resources Group (Pty) Ltd placePretoria calendar_month 

Medical Billing Clerk

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 Clerk/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

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