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Medical Credit Controller

4 months ago

Johannesburg, South Africa Qetello Holdings Full time

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 and 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

Qualifications and Experience:

  • Matric / Grade 12
  • Credit Control/debt collection within a medical bureau, performing collections on specialist doctors patient accounts
  • CPT 4 Code experience
  • Tariff code experience
  • ICD 10 Coding experience
  • Valid driver’s license and own vehicle

 

Skills and Competencies:

  • Computer literate in MS Office (Microsoft Excel, Word, and PowerPoint; and Outlook)
  • Articulate with strong communication skills (oral and written)
  • Ability to adapt and learn new skills.
  • Ability to multitask.
  • Cope well under pressure.

 

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

 

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.