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Medical Credit Controller

4 months ago

Roodepoort, Gauteng, South Africa Glasshouse Recruiting Full time

Requirements:

  • Matric
  • Credit Control/debt collection within a medical bureau, performing collections on specialist doctors' patient accounts
  • ICD1- coding experience essential (certification advantageous)
  • Driver's license with reliable transport

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: Surgeon, Gynaecologist, Paediatrics, Urology, Physiotherapy, General Practitioner (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 (RAs)
  • 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