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Tariff and Payment Arrangement Coordinator

Job Placements
Centurion Full-day Full-time

Description:

Job Title:
Tariff and Payment Arrangement Coordinator

Company:
MediCharge

Position Overview:
Collaborate closely with the Medical Scheme representatives to establish a clear understanding of all available Payment Arrangements and maintaining current working knowledge of Healthcare related issues, Scheme rules and regulations. Maintain accurate and detailed records of all documentation related to Payment Arrangement and provide training to MediCharge staff on new Payment Arrangement implementations or changes.

Maintain up to date knowledge of the accurate and efficient loading and maintenance of tariff files and Payment Arrangements within VeriClaim. This individual will share co-responsibility with the Tariff Coordinator for the year-end process, where tariffs for all Medical Schemes are updated for the new year within VeriClaim.

Essential Job Functions:

Serve as the main point of contact for Payment Arrangement inquiries and communications related to Payment Arrangements. Build and maintain strong relationships with key Medical Schemes, SpesNet and any other relevant parties and facilitate transparent communication channels between VeriClaim and the Medical Schemes. Stay informed about any changes made by the Medical Schemes for example Payment Arrangements, fixed fees, provider specific agreements, how fixed fees influence Payment Arrangements etc. Take ownership of new Payment Arrangements or changes to Payment Arrangements to ensure that a full investigation is conducted, all information is obtained, clear understanding of how it works and a Change Request is compiled for the changes to be made on VeriClaim. Maintain up to date knowledge of how Payment Arrangements work on VeriClaim and conduct regular analysis to ensure that it is implemented correctly and suggest improvements to workflow, implementations and efficiencies. Maintain accurate and detailed records of any documentation related to Payment Arrangements and regularly update these records. Responsible for knowledge sharing ensuring all MediCharge staff know how Payment Arrangements work and how it is implemented on VeriClaim, this should be done through training, upskill sessions and providing guidance (including any necessary training material and reference guides) to all MediCharge staff. Maintain an updated and functional understanding of Scheme increases, Scheme rules, Conversion Factors, Payment Arrangements, VeriClaim Billing Engine, Tariff App, etc. Assist with obtaining tariff files and/or assist with general tariff related queries, Payment Arrangement information etc. Co-responsibility of managing and coordinating all tariff files/Payment Arrangements received (throughout the year and during year-end), which include but is not limited to: Proper quality assu
18 Feb 2026;   from: gumtree.co.za
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