- Matric certificate
- Knowledge of the medical environment: ICD10 codes, Billing of RPL procedure codes, application of modifiers, PMB process and Excel competent.
- Experience working on VeriClaim / GoodX
- Minimum 3 years debtors and collections experience (Experience within the last 2 years).
- Ability to problem solve, deadline driven, work independently and cope in fast-paced environment.
- Fully bilingual
- Working conditions:
- Own transport Able to work at home-based office in Durbanville
- Work hours: Mo Fri (08:00 17:00)
- Diary and Theatre billing for Specialist practices (Vascular/Orthopaedic Surgeons)
- Provision of cost estimates and cost analysis in respect of errors made on medical aid remittance and allocation of payments
- Submission of claims to medical aids, and allocation of medical aid remittances via ERA (electronic remittance advice) system
- Patient account queries
- Following up on outstanding accounts, short payments (including PMBs) and claim rejections (PMB management)
- Reconciliation of bank account payments and remittances
- Medical aid and patient age analysis
- Reviewing of bad debts and following up on outstanding patient bills
- Calculating assistant payments
- Weekly status meetings
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Medical Bureau Accounts Administrator - durbanville, Western Cape, South Africa - Wenz Recruitment
Description
Purpose of the Position:
Established Medical Bureau in Durbanville is seeking a Debtors, Accounts and Billing administrator to join their team. The candidate should have a strong accounting and numerical acumen, must be willing to go the extra mile and be a fast learner.
Minimum requirements:
Duties: