Credit Collection Specialist

3 weeks ago


Johannesburg, Gauteng, South Africa Pillango Placements Full time

Job Summary: We are seeking a highly skilled Credit Controller to join our team at Pillango Placements. As a Credit Controller, you will be responsible for assessing, reconciling and recovering outstanding past accounts from new clients.

Key Responsibilities:

  • Assess and Reconcile Claims: Ensure that all outstanding claims are accurately represented on the system by assessing and reconciling them.
  • Claim Rejections: Resolve claim rejections to maximise payment received from medical schemes.
  • Remittance Advices: Retrieve, reconcile and monitor all remittance advices.
  • Follow-up on Outstanding Claims: Follow up on all outstanding claims to ensure timely resolution.
  • Identify Incorrect Billing: Identify any incorrect billing and fix it to resubmit claims accordingly.
  • Reduce Outstanding Balance: Focus on collections and reconciliation to reduce the total outstanding balance in the age analysis.
  • Short Payments: Follow up on short payments to ensure timely resolution.
  • Regular Updates: Follow up on claims regularly with valid updates at each point of query.
  • Communication: Maintain open communication with the practice and the client.
  • Database Maintenance: Monitor and maintain doctors databases with the assistance of BI reporting.

Requirements:

  • Qualifications: Matric qualification is essential.
  • Relevant Experience: 2-3 years industry experience is essential.
  • Skills: Google Workspace experience is advantageous, Medical Coding knowledge (ICD10 codes, tariff codes, billing rules set out by SAMA), understanding of billing rules and interpretation of coding set out by SAMA, knowledge on PMBs is essential.


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