Billing Analyst

7 months ago

Durban, South Africa Pillango Placements Full time

**KwaZulu Natal**, Durban**

**R 35000 - R 40000 Monthly Cost To Company**

As a Billing Analyst, you will play a crucial role in overseeing the billing process for healthcare services, with a particular emphasis on specialist healthcare providers. Your primary responsibility will be to ensure the precision and efficiency of billing within the
claims administration team.

**As a Billing Analyst, the following will be required from you**:

- Define and execute billing and coding procedures for the claims administration department.
- Align with the overarching business strategy.
- Ensure accuracy, efficiency, and adherence to ethical and legal standards.
- Identify opportunities for improvement in coding and billing practices.
- Collaborate with line managers and supervisors to guide accurate coding of healthcare claims.

**As an Expert Mentor, the following will be required from you**:

- Foster collaboration with line managers, supervisors, and claims administrators.
- Champion coding and billing enhancements to maximize revenue.
- Proactively lead continuous improvement initiatives.
- Maintain high standards in billing efficiency and accuracy.
- Analyze claims for errors and optimization opportunities.
- Interpret scheme benefit rules for billing optimization.
- Resolve denied or rejected claims.
- Stay updated on healthcare changes.
- Communicate effectively with stakeholders.
- Research medical aid plans and eligibility.
- Streamline billing processes and improve efficiency.
- Collaborate with the Tech team.

**Experience**:

- Minimum 3 years in medical administrative billing (B2B context, healthcare sector).
- Extensive coding experience (minimum 5 years) with industry standards knowledge.

**Knowledge and Skills**:

- Skilled in testing and integrating software solutions.
- In-depth understanding of medical claims industry and coding systems.
- Expertise in ICD-10 coding, SAMA, and CMS rules.
- Proficient in medical terminology and human anatomy.
- Focus on accurate and efficient billing processes.
- Excellent communication skills.
- Enthusiasm for staying updated with industry trends.

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