Medical Billing Manager

2 weeks ago


Johannesburg, Gauteng, South Africa St. John's Riverside Hospital Full time
Job Summary

We are seeking a highly skilled and experienced Medical Billing Manager to join our team at St. John's Riverside Hospital. As a key member of our revenue cycle team, you will be responsible for supervising and coordinating the activities of medical billers and collectors, ensuring accurate and timely billing and collection of patient accounts.

Responsibilities
  • Supervise and coordinate the activities of medical billers and collectors to obtain and record financial data for statistical records.
  • Determine work procedures, prepare work schedules, and expedite work flow.
  • Assign duties and examine work for exactness, neatness, and conformance to policies and procedures.
  • Direct and coordinate the patient accounting function to consistently produce accurate bills that are paid in a timely manner.
  • Utilize and understand the departmental computer system to realize its optimal potential and evaluate and answer staff member questions regarding the mechanics of the system.
  • Effectively work with auditors to locate various patient bills as required and demonstrate cooperation and collaboration with other departments.
  • Be responsible for billing practices, including standard codes sets (CPT4 & ICD-9 coding, UB 04 & 1500 forms, 837 and 835 requirements).
  • Maintain appropriate internal controls over cash posting and reconciliation and stay current with third-party reimbursement regulations and contractual arrangements with HMOs and other payers.
  • Maintain all required records for the department and demonstrate good organizational skills.
  • Train and supervise medical billing, cash posting, self-pay, and collections staff.
  • Adjust and refund requests to insurance companies for overpaid or underpaid accounts.
  • Create billing reports as needed and respond to inquiries from patients, insurance companies, Medicare, and other parties regarding charges and/or billing activity.
  • Identify and resolve account collection problems for maximum collection results.
  • Attend meetings and participate on committees as directed.
  • Schedule and evaluate the work of assigned staff and handle disciplinary action as needed.
  • Conduct annual reviews of employees and assist in any other projects assigned by the Director of Patient Accounts.
Qualifications

We are looking for a highly skilled and experienced Medical Billing Manager with a strong background in business office functions. The ideal candidate will have a high school graduate with some college courses, preferably a Bachelor's degree. A minimum of three (3) or more years of previous hospital experience in all aspects of business office functions is required. The ability to read, write, and communicate effectively in English is required. Knowledge of MS Word, Excel, PowerPoint, Access, and Outlook is also required.



  • Johannesburg, Gauteng, South Africa Hire Resolve Full time

    Medical Billing Agent RoleHire Resolve is seeking a skilled Medical Billing Agent to work with our client in Johannesburg. As a Medical Billing Agent, you will be responsible for accurately processing medical claims, resolving billing issues, and ensuring compliance with coding and billing regulations.Key Responsibilities:Capture patient data accurately and...


  • Johannesburg, Gauteng, South Africa Hire Resolve Full time

    Medical Billing Agent Job DescriptionHire Resolve is seeking a skilled Medical Billing Agent to process medical claims, resolve billing issues, and ensure compliance with coding and billing regulations.Key Responsibilities:Accurately process medical claims and resolve billing discrepanciesEnsure compliance with coding and billing regulations, including...


  • Johannesburg, Gauteng, South Africa Ultra Personnel Full time

    Job Title: Medical Billing AsessorThe Medical Billing Asessor 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 billings and auditors duties within the standards, procedures, and protocols set down.Minimum Qualifications and...


  • Johannesburg, Gauteng, South Africa Kontak Recruitment Full time

    Job Title: Specialist Doctor and GP Billing AgentWe are seeking a highly skilled and experienced Specialist Doctor and GP Billing Agent to join our client's billing department. The successful candidate will be responsible for handling billing for a variety of Specialist Doctors, Allieds, and GP's.Key Responsibilities:Patient data capturing and billing for...


  • Johannesburg, Gauteng, South Africa Kontak Recruitment Full time

    Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at Kontak Recruitment. As a Specialist Doctor and GP Billing Agent, you will be responsible for handling billing for a variety of Specialist Doctors, Allieds, and GP's.Key ResponsibilitiesPatient data capturing and billing for Specialist Doctors, Allieds, and GP'sBilling...

  • Medical Biller

    3 weeks ago


    Johannesburg, Gauteng, South Africa St. John's Riverside Hospital Full time

    Job Title: Medical BillerSt. John's Riverside Hospital is seeking a skilled Medical Biller to join our team. As a Medical Biller, you will play a critical role in ensuring the accuracy and timeliness of patient account files and billing submissions.Responsibilities:Review patient account files and ensure accuracy of charges and insurance to determine...

  • Medical Biller

    4 weeks ago


    Johannesburg, Gauteng, South Africa St. John's Riverside Hospital Full time

    {"title": "Medical Biller", "content": "Job SummarySt. John\u2019s Riverside Hospital seeks a skilled Medical Biller to join our team. As a Medical Biller, you will play a critical role in ensuring the accuracy and timeliness of patient account files, ensuring that charges and insurance information are properly documented and submitted.ResponsibilitiesReview...


  • Johannesburg, Gauteng, South Africa Ultra Personnel Full time

    Job Summary:To ensure the accuracy, compliance, and efficiency of billing operations, with a special focus on high-value cases. The Billings Quality Assessor is responsible for ensuring that all billing processes are executed accurately and adhere to regulatory standards, thereby reducing errors, rejections, and instances of underbilling by performing...


  • Johannesburg, Gauteng, South Africa St. John's Riverside Hospital Full time

    Job SummaryWe are seeking a highly skilled and experienced Outpatient Billing Supervisor to join our team at St. John's Riverside Hospital. As a key member of our revenue cycle team, you will be responsible for supervising and coordinating the activities of medical billers and collectors, ensuring accurate and timely billing and collection of patient...


  • Johannesburg, Gauteng, South Africa Sheli Placements Full time

    Medical Billing Specialist Job DescriptionWe are seeking a highly skilled Medical Billing Specialist to join our team at Sheli Placements. As a Medical Billing Specialist, you will be responsible for processing and managing medical claims, ensuring accurate and timely payment from insurance companies.Key Responsibilities:Process and manage medical claims,...


  • Johannesburg, Gauteng, South Africa Sheli Placements Full time

    Medical Billing OpportunityWe are seeking a skilled Medical Biller with experience in ICD 10 codes to join our team at Sheli Placements.Key Responsibilities:Process medical claims with accuracy and efficiencyEnsure compliance with ICD 10 coding standardsMaintain strong knowledge of medical billing regulationsCollaborate with healthcare providers to resolve...


  • Johannesburg, Gauteng, South Africa Sheli Placements Full time

    Medical Billing OpportunityWe are seeking a skilled Medical Biller with a strong background in ICD 10 codes to join our team at Sheli Placements.Key Responsibilities:Process medical claims with accuracy and efficiencyUtilize ICD 10 coding knowledge to ensure correct coding and billingWork closely with healthcare providers to resolve billing...


  • Johannesburg, Gauteng, South Africa Sheli Placements Full time

    Medical Billing OpportunityWe are seeking a skilled Medical Biller with a minimum of 3 years experience to join our team at Sheli Placements.Key Responsibilities:Process medical claims with accuracy and efficiencyHave a good knowledge of ICD 10 codesBe fully computer literate and bilingualRequirements:Minimum 3 years experience in medical billingFully...

  • Medical Coordinator

    1 month ago


    Johannesburg, Gauteng, South Africa International SOS Full time

    Job SummaryInternational SOS is seeking a highly skilled Medical Coordinator to join our team in Manila. As a Medical Coordinator, you will play a critical role in providing medical assistance to clients worldwide, including on commercial maritime vessels and offshore.Key ResponsibilitiesReceive and assess medically related calls from patients/clients,...

  • Medical Coordinator

    4 weeks ago


    Johannesburg, Gauteng, South Africa International SOS Full time

    {"Role": "Medical CoordinatorAs a Medical Coordinator with International SOS, you will be responsible for receiving and assessing medically related calls from patients/clients on and offshore. You will collect logistical, medical, and collateral histories pertaining to the medical event to provide case direction and as part of our medical due diligence. Your...

  • Billing Specialist

    3 weeks ago


    Johannesburg, Gauteng, South Africa Kaelo Full time

    Billing Specialist Job DescriptionThe Billing Specialist plays a crucial role in ensuring the accuracy and efficiency of end-to-end billing processes. This position is responsible for reconciling and maintaining all Debtor accounts, guaranteeing precise billing and 100% collection. The Billing Specialist will also attend to and resolve internal and external...

  • Billing Specialist

    3 weeks ago


    Johannesburg, Gauteng, South Africa Kaelo Full time

    Billing Specialist Job DescriptionThe Billing Specialist is a key role within our organization, responsible for providing end-to-end support in respect of billing processes. This includes reconciliation and maintenance of all Debtor accounts, ensuring accurate billing and 100% collection. The successful candidate will be responsible for attending to and...

  • Billing Specialist

    1 month ago


    Johannesburg, Gauteng, South Africa Kaelo Full time

    About the RoleKaelo is seeking a highly skilled and detail-oriented Billing Specialist to join our team. As a key member of our financial operations department, you will play a critical role in ensuring the accuracy and efficiency of our billing processes.Key ResponsibilitiesBill Clients: Invoicing corporate clients for services offered, ensuring accurate...

  • Billing Specialist

    2 weeks ago


    Johannesburg, Gauteng, South Africa Vontier Full time

    Billing Specialist Job DescriptionWe are seeking a highly skilled Billing Specialist to join our team at Vontier. As a Billing Specialist, you will play a critical role in ensuring the timely and accurate processing of customer billing, maintaining customer credit limits, and supporting the business in resolving open issues and maintaining controls.Key...

  • Billing Specialist

    4 weeks ago


    Johannesburg, Gauteng, South Africa Vontier Full time

    Job Title: Billing SpecialistWe are seeking a highly skilled Billing Specialist to join our team at Vontier. As a Billing Specialist, you will play a critical role in ensuring timely and accurate processing of customer billing, maintaining customer credit limits, and supporting the business in resolving open issues and maintaining controls.Key...