Medical Credit Controller (ICD10 Coding Experience required)
Mandatory Qualification: Matric
Mandatory Experience: ICD10 Coding & Credit Control/debt collection within a medical bureau, performing collections on specialist doctors' patient accounts
Key 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 (RAs)
- 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
Package:
- R18 000 to R22 000 (depending on experience)
- Yearly bonus target based
Location:
- Weltevredenpark, Johannesburg
- Hours: Monday to Friday from 8am to 4:30pm - office based
