Medical Billing Specialist

1 week ago


Johannesburg, Gauteng, South Africa Ultra Personnel Full time
Job Title: Medical Billing Assessor

The Medical Billing Assessor will play a crucial role in promoting and delivering quality patient care and wellness in accordance with industry standards. This position will be responsible for executing billing auditors' duties within the standards, procedures, and protocols set down.

Minimum Qualifications and Experience
  • Diploma in Nursing
  • 2-3 years of experience in a billing environment
  • Advanced computer literacy
  • SAP experience is an advantage
Key Responsibilities
  1. Perform billing auditing duties in accordance with the standard and procedure
  2. Adhere to the principles and standards of patient care
  3. Review and analyze reports as a management tool to identify negative trends and implement corrective action
  4. Optimize the billing of products by the hospital and in line with company requirements and contractual arrangements with medical schemes
  5. Perform end-of-case activities on the approved system
  6. Ensure the accurate maintenance of supplier invoices
  7. Efficiently manage billing processes, including final bill invoices on the SAP system as paper claims and forwarding patient files to the collections department for further management
  8. Audit patient files as per company requirements and in accordance with company contracts with medical schemes
  9. Adhere to reporting standards by analyzing information and reports to identify trends, discrepancies, and inconsistencies for decision-making


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