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Healthcare Billing Specialist

2 months ago


Johannesburg, Gauteng, South Africa Hire Resolve Full time

Hire Resolve is actively looking for a skilled and knowledgeable Medical Billing Agent to become a vital part of our client's operations. In this role, you will be tasked with the precise and effective management of medical claims, addressing billing discrepancies, and ensuring adherence to coding and billing standards.

Your collaboration with healthcare practitioners, insurance providers, and patients will be essential to guarantee prompt and accurate payment for medical services rendered. The ideal candidate will possess a comprehensive understanding of medical billing methodologies, coding frameworks, and reimbursement protocols.

Key Responsibilities:
  • Capture patient information accurately
  • Process billing for various specialists, allied health professionals, and general practitioners
  • Exhibit expert knowledge of charge codes and ICD-10 codes applicable to all specialists and allied health providers
  • Optimize billing processes for efficiency
  • Comprehend and comply with diverse medical aid agreements regarding billing
  • Demonstrate meticulous attention to detail and adhere to specific practice requirements
  • Address and resolve billing inquiries
  • Conduct thorough audits of billing records
  • Maintain accurate records of billing queries
  • Stay informed about evolving billing regulations within the industry
  • Follow the guidelines set forth by the SAMA billing framework
  • Manage receipting and distribution of billing in the absence of a supervisor
  • Exhibit excellent communication skills

Qualifications:

  • Minimum educational requirement: Matric
  • Proficiency in basic and intermediate ICD-10 coding
  • At least 3 years of relevant experience

Compensation and Benefits:

  • Monthly salary: R 20,000
  • Annual bonus opportunities
  • 15 days of annual leave

The salary for this position will be determined based on the candidate's experience and qualifications.

We will reach out to suitable candidates within a few days. If not selected, your CV will be retained for future opportunities.