IntroductionTogether 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 & ResponsibilitiesImplement 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: 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 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.Desired Experience & QualificationMatric / Grade 12.Credit Control/debt collection within a medical bureau, performing collections on specialist doctors patient accounts.Tariff code experience.ICD 10 Coding experience.Valid driver's license and own vehicle.Package & RemunerationR 15 000.00 – R19 000.00 CTC per month depending on experience.Yearly bonus – target based.15 Days holiday, with 2 additional holiday days for every 5 years' service completed.Team building fun day once a year.Yearly salary increase based on performance.Interested?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.
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