Collection Clerk

2 weeks ago

Pretoria, South Africa CLS Human Capital Specialists Full time

**Collections Administrator**

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**Introduction**

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A medical administrative service company situated in Montana is seeking an accurate and determined Collections Administrator with 3 years’ experience in a similar role to join their team.

***

**Job Purpose**:
Submit medical accounts timeously and accurately to ensure the collection of payments from medical aids and private patients.

Provide administrative support to doctors.

**Requirements**:
**Minimum education (essential)**:

- National Senior Certificate

**Minimum education (desirable)**:

- Certificate or Diploma in Administration

**Minimum applicable experience (years)**:

- 2 - 3 years’ experience

**Required nature of experience**:

- Medical billing (Elixir preferred).
- Medical Practitioner engagement.
- Medical Aid engagement.
- Face-to-face, telephonic, and electronic communication.

**Skills and Knowledge Required**:
**Software**:

- MS Office, especially Excel.
- Elixir Live, or similar medical billing software.

**Medical accounts**:

- Processing and reconciliation of medical accounts and medical aid remittance advices.
- Medical aid guidelines relating to procedures and billing, as well as Prescribed Minimum Benefits (PMBs).
- Medical procedures, including ICD10 and procedure codes.

**Communication**:

- Ability to clearly articulate and explain queries relating to billing and accounts.
- Always maintain a courteous and professional demeanour, even during high pressure situations.
- Take the utmost care to protect sensitive information by maintaining strict confidentiality and discretion.

**General Administration**:

- Record keeping and documentation.
- Debt collecting.

**Other**:

- Afrikaans (Essential)
- English (Essential)
- Valid driver’s licence & own transport

**Key Performance Areas, Weights and** **Objectives**

***

**Collections 70%**
- Compile quotations for private patients as per instructions from responsible doctor. Communicate such quotations to the patient before the procedure and ensure payment is made.
- Obtain procedure cards.
- Ensure medical records are complete, accurate and filed correctly for billing.
- Contact relevant person or department (such as Surgeon’s Room, Case Management, Hospital Administration, etc) to obtain missing or additional information which may be required.
- Create patient files on Elixir Live, or similar medical billing software.
- Submit accounts via medical billing software as soon accounts are received, no later than 4 months after procedure date.
- Review switch status of accounts submitted, as well as accuracy of accounts created.
- Follow up on payments, 2-3 weeks after submission, or when remittance advice is received.
- Evaluate and monitor outstanding payments and follow up.
- Draft and submit motivations for procedures and related codes as per instruction from the responsible doctor.
- Report on accounts submitted and outstanding debts.

**Administration 20%**
- Log all activities using relevant processes and systems accurately and completely.
- Respond to queries from patients and doctors, and provide timeous feedback.
- Assist doctors with documentation and communication with medical aids and other statutory bodies, such as may be required during registration processes.
- Ensure all statutory and regulatory documentation is kept up to date and submit renewal reminders timeously.
- Identify opportunities to enhance effectiveness of the company services provided to clients

**AD Hoc 10%**
- Perform any other duties as requested from time to time.

**Salary offered**

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