Medical Bureau Accounts Administrator

4 weeks ago


Cape Town, South Africa Wenz Recruitment Full time

Purpose of the Position:

Established Medical Bureau in Durbanville is seeking a Debtors, Accounts and Billing administrator to join their team. The candidate should have a strong accounting and numerical acumen, must be willing to go the extra mile and be a fast learner.

Minimum requirements:

  • Matric certificate
  • Knowledge of the medical environment: ICD10 codes, Billing of RPL procedure codes, application of modifiers, PMB process and Excel competent.
  • Experience working on VeriClaim / GoodX
  • Minimum 3 years debtors and collections experience (Experience within the last 2 years).
  • Ability to problem solve, deadline driven, work independently and cope in fast-paced environment.
  • Fully bilingual
  • Working conditions:
  • Own transport Able to work at home-based office in Durbanville
  • Work hours: Mo Fri (08:00 17:00)

Duties:

  • Diary and Theatre billing for Specialist practices (Vascular/Orthopaedic Surgeons)
  • Provision of cost estimates and cost analysis in respect of errors made on medical aid remittance and allocation of payments
  • Submission of claims to medical aids, and allocation of medical aid remittances via ERA (electronic remittance advice) system
  • Patient account queries
  • Following up on outstanding accounts, short payments (including PMBs) and claim rejections (PMB management)
  • Reconciliation of bank account payments and remittances
  • Medical aid and patient age analysis
  • Reviewing of bad debts and following up on outstanding patient bills
  • Calculating assistant payments
  • Weekly status meetings


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