Description:
Introduction:As the Medical Invoice Controller, you will be reporting to the Team Leader: Medical Invoice Approval Production. You will manage the medical invoice authorization for payment process efficiently and effectively.
Description:
THE JOB AT A GLANCE
As the Medical Invoice Controller, you will be reporting to the Team Leader: Medical Invoice Approval Production. You will manage the medical invoice authorization for payment process efficiently and effectively. This role involves assisting medical invoice processors with technical inquiries, sharing knowledge, educating medical service providers on correct billing practices, and negotiating early settlement discounts on high-value invoices. You will be playing a crucial role in ensuring cost-effective and accurate payments, leveraging your expertise in medical billing and coding, along with strong analytical and customer service skills, to maintain high standards of service and efficiency.
WHAT WILL YOU DO?
- Manage the authorization for payment processing of medical invoices
- Review and manage medical costs by ensuring no excess tariffs are paid and treatments are appropriate for the injuries sustained
- Review medical documents to make informed invoice assessment decisions
- Handle and review medical accounts where automated payment has failed
- Negotiate and agree on discounts with medical service providers for high-value invoices
- Monitor invoices for over-servicing and identify incorrectly billed invoices, alerting the Medical Invoice Approval Manager and Team Leader as necessary
- Ensure medical creditors are paid within 2 days from the date of receipt.
WHAT WILL YOU GET IN RETURN?
We offer great opportunities for personal and professional development in a stable company that is 130 years strong. The role comes with a competitive salary package and various benefits. Furthermore, you will be part of a dedicated group of colleagues who value teamwork and collaboration.
Turnaround time
The shortlisting process will only start once the advert due date has been reached. The time taken to complete this process will depend on how far you progress within the recruitment process and the availability of our managers. Kindly note that should you not receive a response within 21 days, please consider your application unsuccessful.
Closing date: 17th February 2025
Our Commitment to transformation:
In accordance with the employment equity plan of Rand Mutual Assurance and its employment equity goals and targets, preference may be given, but is not limited, to candidates from under-represented designated groups.
Requirements:
WHAT YOU'LL BRING TO THE TABLE?
- Grade 12 qualification/Matric Certificate
- A degree or national diploma in Nursing or BCMP
- Advantageous: A medical-related qualification or advanced diploma in health sciences is preferred
- Minimum of 3 years’ experience in a related field, such as medical billing, healthcare services, or medical coding
- Proficiency in SAMA, COID, RPL, ICD10 coding, and Nappi Codes
- Strong knowledge of medical terminology.
Requirements:
- Manage the authorization for payment processing of medical invoices
- Review and manage medical costs by ensuring no excess tariffs are paid and treatments are appropriate for the injuries sustained
- Review medical documents to make informed invoice assessment decisions
- Handle and review medical accounts where automated payment has failed
- Negotiate and agree on discounts with medical service providers for high-value invoices
- Monitor invoices for over-servicing and identify incorrectly billed invoices, alerting the Medical Invoice Approval Manager and Team Leader as necessary
- Ensure medical creditors are paid within 2 days from the date of receipt.
- Grade 12 qualification/Matric Certificate
- A degree or national diploma in Nursing or BCMP
- Advantageous: A medical-related qualification or advanced diploma in health sciences is preferred
- Minimum of 3 years’ experience in a related field, such as medical billing, healthcare services, or medical coding
- Proficiency in SAMA, COID, RPL, ICD10 coding, and Nappi Codes
- Strong knowledge of medical terminology.