Sound knowledge and experience relating to debtors’ administration and credit control in the private healthcare environment
Dynamic person with interpersonal skills, strong influencing, and communication skills
Excellent attention to detail
Excellent computer skills
Ability to work well within a team
Ability to work in a pressurised environment
Understanding of prescribed minimum benefits (PMB) process
Understanding of ICD-10, CPT and hospital billing rules
In-depth knowledge of the NHN Billings Guidelines
Requirements
Recover outstanding debt from the medical aid schemes, insurers, patients, members, and guarantors.
Effectively manage the outstanding debt to prevent bad debt write offs and stale claims.
Manage and work through the age analysis on a daily basis.
Control outstanding medical aid accounts by processing and submitting all medical aid claims within the required time frame.
Accurately record the collection status and relevant collection notes of each account.
Prepare documentation of all accounts in connection with their remittances.
Capture the remittances and reconcile all claims allocated.
Process refund requisitions.
Liaise with the medical aid schemes and patients to resolve account queries/shortfalls.
Complete daily additional functions accurately.
Adhere to company policies and procedures and uphold the image of the company in a professional manner
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Credit Control • ZA
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