Job Ref #: MHO-CC-00001
Industry: Pharmaceutical And Medical/Healthcare
Job Type: Permanent
Positions Available: 1

Job Description

• Grade 12

• Tertiary Qualification will be advantageous

• Three years’ experience as a Credit Controller

• Sound knowledge and experience relating to debtors’ administration and credit control in the private healthcare environment

• Dynamic person with interpersonal skills, strong influencing, and communication skills

• Excellent attention to detail

• Excellent computer skills

• Ability to work well within a team

• Ability to work in a pressurised environment

• Understanding of prescribed minimum benefits (PMB) process

• Understanding of ICD-10, CPT and hospital billing rules

• In-depth knowledge of the NHN Billings Guidelines

Job Requirements

• Recover outstanding debt from the medical aid schemes, insurers, patients, members, and guarantors.

• Effectively manage the outstanding debt to prevent bad debt write offs and stale claims.

• Manage and work through the age analysis on a daily basis.

• Control outstanding medical aid accounts by processing and submitting all medical aid claims within the required time frame.

• Accurately record the collection status and relevant collection notes of each account.

• Prepare documentation of all accounts in connection with their remittances.

• Capture the remittances and reconcile all claims allocated.

• Process refund requisitions.

• Liaise with the medical aid schemes and patients to resolve account queries/shortfalls.

• Complete daily additional functions accurately.

• Adhere to company policies and procedures and uphold the image of the company in a professional manner