Introduction
Together with our client, a leading claims administrator in Johannesburg North, we are recruiting for a Medical Credit Controller to assist with Private and medical aid claims.
Duties & Responsibilities
- Implement credit control procedures for specialist doctors and Allied Professionals in accordance with our credit control/debt collection policy.
- Experience in collecting payments for specialist patient accounts with medical aids, with proficiency in at least four of the following specialties: Surgery, Gynaecology, Paediatrics, Urology, Physiotherapy, General Practice (GP), Physician and Psychiatry.
- Follow up with medical aids to ensure prompt payment of outstanding claims.
- Apply any necessary fixes or adjustments to claims.
- Monitor and follow up on claims related to Prescribed Minimum Benefits (PMB), providing relevant documentation as required.
- Collect payments directly from patients for accounts where they are liable.
- Perform daily reconciliation of Electronic Remittance Advice (ERA) and bank statements.
- Obtain and input manual Remittance Advices (RA).
- Resolve rejections from medical aids and upfront claim rejections.
- Submit paper claims when electronic submission is not possible.
- Provide timely responses to inquiries from both medical practices and patients.
- Follow the handover process once the collection process is completed.
- Perform any additional duties as requested by supervisors and management.
Desired Experience & Qualification
- Matric / Grade 12.
- Credit Control/debt collection within a medical bureau, performing collections on specialist doctors' patient accounts.
- Tariff code experience.
- ICD 10 Coding experience.
- Valid driver’s license and own vehicle.
Package & Remuneration
- R 15,000.00 – R19,000.00 CTC per month depending on experience.
- Yearly bonus – target based.
- 15 Days holiday, with 2 additional holiday days for every 5 years’ service completed.
- Team building fun day once a year.
- Yearly salary increase based on performance.
Interested?
Only candidates who meet all the requirements stipulated in this advert will be considered. If you don’t receive feedback from us within 2 weeks of your application, please consider your application unsuccessful.
#J-18808-Ljbffr
