Job Description

Grade 12

Tertiary Qualification will be advantageous

Three years' experience as a Credit Controller

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


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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Job Detail

  • Job Id
    JD1565411
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    WC, ZA, South Africa
  • Education
    Not mentioned