Medical Credit Controller

Requirements:

• Grade 12 / Matriculation Senior certificate.
• Valid Code 08 driver’s licenses.
• Proven experience as a Credit Controller within the medical aid / healthcare industry.
• Solid understanding of medical provider billing structures (E.g., Ortho, Euro) alongside working knowledge of ICD10 and procedure codes
• Friendly, presentable, confident, professional attitude
• Ability to work under pressure and Accept responsibility (pro-active, organized and dependable.)
• Risk awareness
• Require knowledge in IT and a Intermediate in Microsoft Office (Word, Excel, Outlook
• Communication (verbal, written, listening, and questioning skills)
• Attention to detail with Problem solving and decision making (Self-Motivated)
• Problem solving and decision making (Self-Motivated)

Duties:

The credit controller will report to the leader and will be responsible for the following:

• Manage the debtor’s book (Age Analysis) and ensure the entire book is thoroughly worked through at least twice a month.
• Ensure all medical aid claims are submitted within the regulated timeframes set by the medical schemes Act and promptly resolve any rejections.
• Proactively manage outstanding debt to prevent stale claims and minimize bad debt write-offs.
• Ensure payments remittances are handed over to the debtor’s department for processing and that all payments are accurately allocated on time each month.
• Identify and acknowledge patient-liable accounts, transferring them to the member-liable department as required.
• Apply specific billing guidelines, tariffs, and payment contracts across various medical service providers (e.g. Orthopedics, Neurosurgeon).
• Notify team leaders of high-risk accounts on a weekly basis and actively work toward achieving monthly targets set by management for each assigned provider.
• Achieve the monthly debt collection target as set by management
• Effectively manage the outstanding debt to prevent bad debt write offs, medical aid stale claims and prescription of debt
• Ensure that all payments are allocated each month on time.
• Required to perform tasks which are not specifically stated, but which the employer regard to be fundamental to the employee’s job.

Remarks:

• Position will be on a three-month probationary period.
• All applications can be emailed to info@medimatters.co.za and phumzilem@medimatters.co.za
• If there is no reply within 3 days, then application was unsuccessful.
• Please use reference MED_Credit Controller

Job Types: Full-time, Permanent

Pay: From R10 000,00 per month

Application Question(s):

• What is the time frame to submit a claim to the medical aid
• What does it mean if a medical service provider has a contract with the medical aid
• When will a service provider bill a PMB case, please give example
• Code 0023 will be applicable to which type of Medical service provider
• What is the differents between a orthopedic and a neurosurgeon and give me two procedure codes for each service providers.

Experience:

• Medical bureau: 1 year (Required)

Work Location: In person