Billing Analyst

2 weeks ago

Durban, KwaZulu-Natal, South Africa Pillango Placements Full time

KwaZulu Natal, Durban**
R R 40000 Monthly Cost To Company


As a Billing Analyst, you will play a crucial role in overseeing the billing process for healthcare services, with a particular emphasis on specialist healthcare providers.

Your primary responsibility will be to ensure the precision and efficiency of billing within the
claims administration team.

As a Billing Analyst, the following will be required from you:

  • Define and execute billing and coding procedures for the claims administration department.
  • Align with the overarching business strategy.
  • Ensure accuracy, efficiency, and adherence to ethical and legal standards.
  • Identify opportunities for improvement in coding and billing practices.
  • Collaborate with line managers and supervisors to guide accurate coding of healthcare claims.

As an Expert Mentor, the following will be required from you:

  • Foster collaboration with line managers, supervisors, and claims administrators.
  • Champion coding and billing enhancements to maximize revenue.
  • Proactively lead continuous improvement initiatives.
  • Maintain high standards in billing efficiency and accuracy.
  • Analyze claims for errors and optimization opportunities.
  • Interpret scheme benefit rules for billing optimization.
  • Resolve denied or rejected claims.
  • Stay updated on healthcare changes.
  • Communicate effectively with stakeholders.
  • Research medical aid plans and eligibility.
  • Streamline billing processes and improve efficiency.
  • Collaborate with the Tech team.

Experience:

  • Minimum 3 years in medical administrative billing (B2B context, healthcare sector).
  • Extensive coding experience (minimum 5 years) with industry standards knowledge.

Knowledge and Skills:

  • Skilled in testing and integrating software solutions.
  • Indepth understanding of medical claims industry and coding systems.
  • Expertise in ICD10 coding, SAMA, and CMS rules.
  • Proficient in medical terminology and human anatomy.
  • Focus on accurate and efficient billing processes.
  • Excellent communication skills.
  • Enthusiasm for staying updated with industry trends.

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