Description:
Key Responsibilities:
•Support the billing process for insured and self-pay patients
•Confirming Patient account charges.
•Submitting claims to insurance companies and resolving queries to enable invoice settlement.
• Monitor and manage outstanding accounts, identifying and resolving queries
• Ensuring that invoices are approved for Settlement and Payments are received on time and overdue accounts are dealt with promptly and effectively.
• Build strong relationships with insurance companies to ensure efficient invoice approval and payment, and effective dispute resolution.
• Resolve queries and issues related to billing and credit control
• Identify and escalate any issues or risk related to billing and credit control.
• Provide regular reporting on billing and credit control activities and aged debt reporting
• Develop and implement effective credit control procedures to ensure that all invoices are paid in a timely manner
• Keep up to date with changes in healthcare regulations and insurance policies to ensure that the organization's billing practices are compliant
Key Requirements:
• Previous experience in a billing and credit control role, ideally within the healthcare industry
• Strong knowledge of medical billing and coding practices including understanding of different billing systems, private medical insurance plans and reimbursement method (billing system examples – Elixir Live, Medidi, iHealth, Healthbridge, Vericlaim)
• Strong communication and interpersonal skills with the ability to build and maintain relationships with stakeholders
• Excellent attention to detail and accuracy
• Strong problem – solving skills and the ability to identify and escalate issues to achieve resolution
• Ability to work effectively in a team environment
• Proficiency in Microsoft Office, Excel, and Billing software
Requirements:
Minimum Requirements:
• Matric certificate
• Own Vehicle
• Valid Driver’s license
• Proven Experience in handling Medical Credit controlling
• SAMA knowledge would be an advantage