Credit Controller Johannesburg

4 days ago


Johannesburg, Gauteng, South Africa Qetello Holdings Full time
Introduction

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 & 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.
Desired Experience & Qualification
  • Matric / Grade 12.
  • Credit Control/debt collection within a medical bureau, performing collections on specialist doctors patient accounts.
  • Tariff code experience.
  • ICD 10 Coding experience.
  • Valid driver's license and own vehicle.
Package & 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.
Interested?

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.

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