Medical Admin Clerk

1 week ago


East London, Eastern Cape, South Africa Abantu Staffing Solutions Full time R180 000 - R250 000 per year

Job Summary:

  • Obtain timeous and accurate authorization from medical aid so patient can start treatment as soon as possible.
  • Billing of medical aids and patients for Hospital/ Rooms consultations and treatment received.
  • Follow up of all rejected medical aid and patient accounts.
  • Responsible for the collection of payments made by patient and issue a receipt. Controlling of practice age analysis and keeping it to a minimum.

Minimum Requirements:

· Matric

· 2 Years in billing (ideally Vericlaim)

Key Requirements

Authorisation Process:

  • To register patients on the oncology program.
  • To complete and send the completed SAOC forms to the medical aid
  • Must follow up on the outstanding Authorisations
  • Check received authorisation prior to start of treatment
  • Do date extensions
  • Load all documents on the EMR system.
  • Responsible for re-auths or/and adjustments
  • Upkeep of stats
  • Upkeep of registers

Expected Results:

  • Prompt and accurate process
  • Minimal delays for excellent private patient care
  • Availability of recorded documents when needed as proof
  • Smooth workflow

Billing Process:

  • Registration of PMB conditions with Medical Aid
  • Bill patients for treatment received and consultations
  • Billing insurance forms completed by doctors
  • Action rejected billing codes and follow up with medical aids
  • Work through practice age analysis and follow up on outstanding fees

Patient care and rendering of a quality service:

  • Assist with telephonic queries
  • Feedback to doctors and management team regarding auth process
  • Laisse with stakeholders including hospital regarding booking patients for treatment.
  • Hands-on problem
  • Solving and assistance with any queries
  • Smooth patient experience


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