Credit Control

2 weeks ago


Western Cape, South Africa Melomed Private Hospitals Full time

Grade 12
- Tertiary Qualification will be advantageous
- Three years’ experience as a Credit Controller
- Sound knowledge and experience relating to debtors’ administration and credit control in the private healthcare environment
- Dynamic person with interpersonal skills, strong influencing, and communication skills
- Excellent attention to detail
- Excellent computer skills
- Ability to work well within a team
- Ability to work in a pressurised environment
- Understanding of prescribed minimum benefits (PMB) process
- Understanding of ICD-10, CPT and hospital billing rules
- In-depth knowledge of the NHN Billings Guidelines
- Recover outstanding debt from the medical aid schemes, insurers, patients, members, and guarantors.
- Effectively manage the outstanding debt to prevent bad debt write offs and stale claims.
- Manage and work through the age analysis on a daily basis.
- Control outstanding medical aid accounts by processing and submitting all medical aid claims within the required time frame.
- Accurately record the collection status and relevant collection notes of each account.
- Prepare documentation of all accounts in connection with their remittances.
- Capture the remittances and reconcile all claims allocated.
- Process refund requisitions.
- Liaise with the medical aid schemes and patients to resolve account queries/shortfalls.
- Complete daily additional functions accurately.
- Adhere to company policies and procedures and uphold the image of the company in a professional manner


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