Medical Credit Controller

Description:

Together with our client, a leading claims administrator in Johannesburg North, 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 policyExperience in collecting payments for specialist patient accounts with medical aids, with proficiency in at least four of the following specialties: Surgery, Gynaecology, Paediatrics, Urology, Physiotherapy, General Practice (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)Resolve rejections from medical aids and upfront claim rejectionsSubmit paper claims when electronic submission is not possibleProvide timely responses to inquiries from both medical practices and patientsFollow the handover process once the collection process is completedPerform any additional duties as requested by supervisors and management Qualifications and Experience:Matric / Grade 12Credit Control/debt collection within a medical bureau, performing collections on specialist doctors patient accountsCPT 4 Code experienceTariff code experienceICD 10 Coding experienceValid 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 – R19 000.00 CTC per month depending on experienceYearly bonus – target based15 Days holiday, with 2 additional holiday days for every 5 years’ service completedTeam building fun day once a yearYearly 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.