Billing Specialist
4 days ago
6 Month Contract Role
A medical Company based in Sandton is looking for a Billing Specialist to join the team for a 6-month contract role.
**Skills**:
- Maintain client service principles to ensure client expectations are met.
- Liaison with practitioners and medical aids.
- Deal with client queries in an effective consumer-centric manner
- Medical Aid follow up on Rejections and successful rework resulting in payment receipt from Funders
- Accurate Billing using an EDI
- Extremely proficient in MS excel and word
- Good communication skills
- Reliable and professional
- Organized
- Good time management skills
- Team player
- Dedicated
- Fast learner
- Motivated
- Easy to work with
- Extremely fluent in English
- Fluent in another language is advantageous (Afrikaans, etc)
**Duties**:
- Full Debtors function - Managing 45 Medicare pharmacy stores, full debtor’s books
- Collections and reconciliations, banking, overseeing allocations
- Control of all weekly invoicing and credit notes
- Approval of credit limits, monitoring of accounts, opening accounts
- ITC and credit checks
- Hand over accounts, liaise with lawyers, all old debt collections
- Resolve account queries, and outstanding payments, allocations of payments
- Approval of customer accounts, credit limits / Monitoring of credit limits, re-evaluating and increasing, decreasing of customer credit limits and accounts, credit checks, ITC and Bank codes, monthly statements, invoicing, journals, debit, and credit notes
- Sending of monthly statements and invoices
- Weekly and monthly debtors report on the overdue account
- Managing staff accounts
- Liaise with Medical aids regarding payments, reversals, claim resubmissions, etc.
- Patient refunds
- Reconciliation of Bank Statements
- Resolve account queries from patients and medical aids
- Print and send out client statements
- Pull out reports for Management as and when required
- Process cheques, credit card, and cash payments
- Petty cash management
- Allocation of payments to patients’ accounts
- Prepare Scheme Payment Report showing all payments from Medical Aids
- Deal with overdue accounts, call patients for overdue accounts and do handovers for unpaid
accounts
- Weekly debtors report on overdue accounts
- Process debit orders and monthly credit card payments
- Process staff medication accounts
- Prepare and manage the Age Analysis
- Sort company post
- Attend to walk-in patients with account queries
- Prepare month-end reports
- Assist with front desk duties as required
- Ad-hoc duties related to the position
- Assist the Financial Manager and CFO as required
- Monthly invoicing of Medical Schemes
- Do account journals and reversals
- Liaise with Medical aids regarding payments, reversals, claim resubmissions, etc.
- Manage the account helpdesk
- Prepare paperwork for patient refunds
- Monthly submission of invoices to National Department of Health
- Reconciliation of remittance advice and/or deposit slips from medical funds, patients/members
payments or other debtors to the bank statements of the specific practices
- Reconciliation of payments/deposits in banking accounts of practices to supporting documents.
- Preparing supporting documents for allocation of payment on the subsystem.
- Collecting of remittance advice and proof of payments.
- Contacting medical funds for outstanding remittance advice.
- Allocating of payments from remittance advises credited in batches to corresponding transactions
of sub-system
- Allocating payments of subsystem
- Receiving of supporting documents from practices
- Preparing of documents for finance and filling
- Assisting the team with any other obligation.
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