Together with our client, a leading claims administrator in Johannesburg South, we are recruiting for a Medical Credit Controller to assist with Private and medical aid claims.

Duties and Responsibilities:

Implement credit control procedures for specialist doctors and Allied Professionals in accordance with our credit control/debt collection policy
•
Experience in collecting payments for specialist patient accounts with medical aids, with proficiency in at least four of the following specialties: Surgeon, Gynaecologist, Paediatrics, Urology, Physiotherapy, General Practitioner (GP), Physician and Psychiatry.
• Follow up with medical aids to ensure prompt payment of outstanding claims.
• Apply any necessary fixes or adjustments to claims.
• Monitor and follow up on claims related to Prescribed Minimum Benefits (PMB), providing relevant documentation as required.
• Collect payments directly from patients for accounts where they are liable.
• Perform daily reconciliation of Electronic Remittance Advice (ERA) and bank statements.
• Obtain and input manual Remittance Advices (RA’s)
• Resolve rejections from medical aids and upfront claim rejections
• Submit paper claims when electronic submission is not possible
• Provide timely responses to inquiries from both medical practices and patients
• Follow the handover process once the collection process is completed
• Perform any additional duties as requested by supervisors and management

Qualifications and Experience:

•       Matric / Grade 12

•       Credit Control/debt collection within a medical bureau, performing collections on specialist doctors patient accounts

•       CPT 4 Code experience

•       Tariff code experience

•       ICD 10 Coding experience

•       Valid driver’s license and own vehicle

Skills and Competencies:

•       Computer literate in MS Office (Microsoft Excel, Word, and PowerPoint; and Outlook)

•       Articulate with strong communication skills (oral and written)

•       Ability to adapt and learn new skills.

•       Ability to multitask.

•       Cope well under pressure.

Remuneration

·        R 15 000.00 – R20 000.00 CTC per month depending on experience

·        Yearly bonus – target based

·        15 Days holiday, with 2 additional holiday days for every 5 years’ service completed

·        Team building fun day once a year

·        Yearly salary increase based on performance

Only candidates who meet all the requirements stipulated in this advert will be considered. If you don’t receive feedback from us within 2 weeks of your application, please consider your application unsuccessful.

To apply please send your CV and supporting documents to recruitment1@medicalresources.co.za with REF: Credit Controller