Billing Specialist
4 days ago
Position Purpose : To manage and process membership subscriptions, reconciliation and billing inquiries. Handling payments, ensuring accurate billing, and maintaining records related to medical memberships and services. Experience: 2 to 3 years’ experience as a Billing specialist or Credit controller within the medical aid administrator or Insurance. Qualifications: Grade 12, Tertiary qualification in Accounting, Finance or related field. KEY PERFORMANCE AREAS Generate, review, and process billing and payments from medical aid memberships Verify that billing statements are accurate and match payment files as per service agreements. Payment Management: Schedule and process payments to group according to agreed terms. Ensure timely and accurate payment processing to avoid late fees or disruptions in service. Reconcile accounts payable records with statements from groups and brokers to ensure all transactions are accounted for. Address any discrepancies or issues that arise during reconciliation. Manage billing for medical memberships, including generating statements, processing payments, and handling all discrepancies. Track membership status and update records accordingly. Record Keeping: Maintain accurate records of all financial transactions, including movements, payments allocation, and correspondence with groups. Ensure records are organized and accessible for audits and reference. Customer Service: Address and resolve inquiries from groups, brokers and members related to billing and payments. Provide support and clarification on billing issues, payment statuses, and membership details. Compliance and Reporting: Ensure that all billing and payment activities comply with relevant regulations and organizational policies. Prepare reports on accounts payable activities, membership billing, and payment statuses for management. Coordination: Work closely with other departments (e.g., finance, administration) to ensure accurate and efficient handling of financial transactions and membership management. Coordinate with administrator and brokers to resolve billing issues and disputes. Skills and Abilities Understanding of financial principles and practices related to accounts payable and billing. Experience with Billing systems, and familiarity with medical billing codes and processes. Ability to manage multiple tasks, prioritize workloads, and maintain organized records. Capability to resolve discrepancies, address billing issues, and find solutions to financial challenges. Strong verbal and written communication skills for interacting with groups, members, and internal teams. Focused on providing excellent service to members and resolving their billing-related concerns effectively. Awareness of relevant regulations and standards governing medical billing and accounts payable. Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint). Note: Company reserves the right to close the advert before specified closing date. PHA has its head office in Westville, KwaZulu-Natal. It operates country-wide with a nationally linked network and uses a robust, flexible, as well as integrated system to ensure efficient and effective administration of membership and benefits. #J-18808-Ljbffr
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