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  • Posted: Jun 9, 2021
    Deadline: Not specified
  • Coloplast develops products and services that make life easier for people with very personal and private medical conditions. Working closely with the people who use our products, we create solutions that are sensitive to their special needs. We call this intimate healthcare. Our business includes Ostomy Care, Continence Care, Wound & Skin Care and, Ur...
    Read more about this company


    Medical Aid Claims Specialist

    About the job

    • The Medical Aid Claims Specialist is responsible for the submission of complete and accurate claims to a wide range of medical aids, following up on the EDI rejection report, maintaining correct Masterdata on the billing system and liaising with respective Medical Aids on claim queries. This is a 6-month contract position created to assist with the current Billing backlog work.

    Key Responsibilities

    • EDI billing for all orders processed during the respective day.
    • Ensuring that all rejections are followed up and cleared within 24 hours.
    • Liaising with Medical Aid on claim queries.
    • Maintaining Masterdata on Billing System.
    • Working closely with Accounts Receivable department on Co-Payment feedback received from Medical Aid.
    • Daily & Weekly reporting to management on billing.

    Personal Characteristics

    • Detail oriented.
    • Ability to work under pressure.
    • In depth knowledge on ICD 10 Codes, EDI submissions and interpreting authorisation letters to execute billing correctly.
    • Able to prioritise own work.
    • Ability to multitask.
    • Ability to liaise with different teams within the department.

    Education And Experience

    • Typically, 3+ years’ experience as a Claims Specialist with a proven knowledge of EDI processing, claim knowledge and understanding ICD 10 codes.
    • Working knowledge of MS Office (Excel), Knowledge of Enterprise One/One World systems by J.D. Edwards. Billing system on EDI claims (Ezmed is an advantage.)
    • Excellent oral and written communication skills
    • Pursuing an ambitious growth agenda, Coloplast develops and markets products and services that make life easier for people with intimate healthcare needs. Employing about 12.000 people and with products available in more than 143 countries, we are one of the world´s leading medical device companies. We are constantly growing our business and always looking for new ways to move forward – we explore, learn and look for new ways of doing things.

    Coloplast is committed to being an inclusive organization, where people bring their differences to work each day, fulfil their potential and have a strong sense of belonging because – and not despite – of their differences. We therefore encourage all qualified candidates to apply regardless of gender, age, race, nationality, ethnicity, sexual orientation, religious belief or physical ability.

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    Method of Application

    Interested and qualified? Go to Coloplast on to apply

    Note: Never pay for any training, certificate, assessment, or testing to the recruiter.

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