Requirements:

National Senior Certificate (Matric)
Credit Control qualification advantageous
Must have dealt with health specialist as clients in calling them for debt collection
To maintain, control and manage the Age Analysis of the companys clients
To control the relevant debtors books in such a way as to keep debtors days to a minimum.
Medical billing experience and/or medical aid experience, including regulatory medical codes and billing
Must have experience with one of these softwares: Medemass
Elixir
Vericlaim
Healthbridge
GoodX
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