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Claim Submission Specialist x9

Life Healthcare
Full-time Cape Town, Western Cape Business Operations Specialists
Posted:
June 10, 2026
Location:
Cape Town, Western Cape, South Africa

Job Description

Function Other Facility Position Claim Submission Specialist x9 Introduction

Vacancies exist for Nine Claim Submission Specialist based at the Cape Town Regional Office, reporting to the Team Lead – Claim Submission Specialist. The successful candidate will manage the initial stages of the claims process as well as any rejections. The job exists to ensure that claims are accurately submitted and processed, facilitating timely and fair settlements.

Critical Outputs

Ensuring the appropriate optimisation of revenue

  • Accurate billing and funder contract interpretation:

  • Ensure accurate and complete coding of patient accounts was done by the Case Manager.

  • Ensure the correct application and correct interpretation of funder contracts.

  • Ensure the correct application and correct interpretation of funder FFS claims.

  • Report on alerts RSRT risks identified to manager.

  • Identify and monitor gaps a...

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    Job Overview

    Job Type: Full-time
    Location: Cape Town, South Africa
    Posted: June 10, 2026
    Deadline: July 20, 2026