Medical Clerk and Customer Service Specialist

1 month ago


East London, Eastern Cape, South Africa Abantu Staffing Solutions Full time

Overview:

We are seeking a highly skilled Medical Debtors Clerk to join our team at Abantu Staffing Solutions.

The successful candidate will be responsible for accurately processing job cards, ensuring timely payments, and providing exceptional customer service. This role also involves serving as Switchboard relief.

Salary: R120,000 - R180,000 per annum, depending on experience.

Job Description:

As a Medical Debtors Clerk, you will be the primary point of contact for patients and medical aids. Your key responsibilities will include:

  • Feeding all job cards within 24 hours of completion
  • Checking and re-processing rejections before invoicing
  • Processing EDI invoices for medical aid payments
  • Reconciling EDI transactions to ensure accurate payment processing
  • Sorting accounts, posting, emailing, and sending final notices
  • Verifying error lists and un-fed lists
  • Correcting errors and resubmitting claims
  • Following up on tariff updates and authorizations
  • Providing patient quotations and answering fee-related queries
  • Attending to all emails received
  • Maintaining medical aid information, exam structures, prices, and codes on the system

Requirements:

To succeed in this role, you will need:

  • Grade 12 or equivalent qualification
  • Experience working in a healthcare environment, including people management and customer service skills
  • Comprehensive knowledge of admissions procedures
  • Excellent communication and interpersonal skills
  • Able to work under pressure and manage competing priorities

Competencies:

  • Drive and energy
  • Planning and Organising
  • Customer responsiveness
  • Problem-solving skills
  • Resilience
  • Attention to detail
  • Excellence and service orientation


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