Job Description

A hospital credit controller manages the hospitals accounts receivable by ensuring timely collection of payments from patients, medical aid schemes, and other guarantors. Their responsibilities include processing claims, reconciling payments, resolving billing queries, following up on overdue accounts, and performing credit risk assessments to prevent bad debt.

• 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

Job 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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Skills Required