Medical Credit Analyst

4 weeks ago


Germiston, Gauteng, South Africa GJM Ultra Holdings Full time

Company:

GJM ULTRA HOLDINGS

Job Title:
Credit Controller

Remuneration: R20,000.

Minimum Qualifications:

  • Matriculation certificate
  • Own Vehicle
  • Valid Driver's license
  • Demonstrated experience in managing Medical Credit control, particularly in Pathology, Hospital, and Case Management sectors.

Key Responsibilities:

  • Assist in the billing procedures for both insured and self-paying patients.
  • Verify patient account charges.
  • Process claims submissions to insurance providers and address inquiries to facilitate invoice payments.
  • Oversee and manage outstanding accounts, identifying and resolving discrepancies.
  • Ensure timely approval of invoices for payment and manage overdue accounts effectively.
  • Establish and maintain strong relationships with insurance companies to streamline invoice approval and payment processes, as well as resolve disputes efficiently.
  • Address queries and issues related to billing and credit management.
  • Identify and escalate any billing and credit control risks or issues.
  • Provide regular updates on billing and credit control activities, including aged debt reports.
  • Develop and implement robust credit control procedures to guarantee timely payment of all invoices.

Key Requirements:

  • Prior experience in a billing and credit control position, preferably within the healthcare sector.
  • Comprehensive understanding of medical billing and coding practices, including familiarity with various billing systems, private medical insurance plans, and reimbursement methods (e.g., Elivir Live, Medidi, iHealth, Healthbridge, Vericlaim, EMD).
  • Excellent communication and interpersonal skills, with the ability to cultivate and sustain relationships with stakeholders.
  • Meticulous attention to detail and accuracy.
  • Strong problem-solving abilities and the capacity to identify and escalate issues for resolution.
  • Ability to collaborate effectively within a team environment.
  • Proficiency in Microsoft Office, Excel, and billing software.

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