Purpose of the Job
Administrative Assistant: Dental must provide administrative and claims-related assistance within the dental managed care team. The successful incumbent must also assist with capturing claims on the system and assign them for approval. He/ she must ensure compliance with Fund rules and clinical protocols within the medical aid environment.
Duties and Responsibilities

• Support the dental team with clinical data capturing and related administration.
• Verifying member benefits and Medical Fund eligibility
• Verify dental procedure codes, treatment plans, and supporting documentation.
• Maintain accurate member and provider records on internal systems.
• Ensure compliance with medical aid policies, clinical guidelines, and regulatory requirements.
• Liaise with dental nurses regarding treatment motivations, missing information, and claim queries.
• Follow up on outstanding documentation and ensure timely resolution of cases.
• Escalate complex clinical or benefit-related matters to the relevant dental team members.
• Adhere to relevant healthcare legislation, confidentiality, and Medical Fund regulations.
• Support audits and quality assurance initiatives within the department.
• Ensure accurate record keeping and confidentiality of member information.
• Assisting with monitoring application turnaround times and workflow management
• Assist with reporting and administrative functions within the dental managed care department when necessary.
• Participate in team meetings, training, and continuous improvement initiatives.
• Perform any other duties related to the role as reasonably required.
• Maintain confidentiality of all member and clinical information in accordance with company policies and applicable data protection regulations.

Required profile for job ad : Administrative Assistant : Dental - Windhoek

Minimum Qualifications and Experience Required

• Grade 12 (Senior Secondary Certificate)
• Experience within a medical aid, managed healthcare, or dental managed care environment will be advantageous

Key Competencies and Skills

• Understanding of medical aid operations and dental benefit structures
• Strong administrative and organisational skills
• Good communication and interpersonal skills
• Attention to detail and ability to maintain confidentiality
• Ability to work under pressure and manage multiple tasks effectively
• Customer service orientation
• Attention to detail
• Teamwork and collaboration
• Time management
• Problem-solving skills

Language Requirements

• Highly proficient in English
• Proficiency in another local language an advantage

Computer Literacy

• Proficiency with the following programmes is required:
  • MS Word
  • MS Excel
  • MS Outlook / email
  • MS Explorer / Internet
  • PowerPoint

Work Requirements

• The position will be based in Namibia, Windhoek

Remuneration

• A competitive salary and benefits will be negotiated, consistent with experience and the role and responsibilities of the position.