Job Description

Job Title: Medical Credit Controller

Job Summary: We are seeking a detail-oriented and experienced Medical Credit Controller to join our credit control team. The ideal candidate will be responsible for managing and optimizing the credit control process within the medical field. This role involves effectively handling patient accounts, insurance claims, and outstanding balances to ensure timely and accurate financial transactions, while maintaining a high level of client satisfaction.

Key Responsibilities:

1. Patient Account Management:

Monitor and manage patient accounts, ensuring accurate billing and invoicing for medical services rendered.

Collaborate with medical billing staff to resolve any discrepancies in patient accounts.

Provide clear and concise explanations of medical bills to patients, addressing any concerns they may have.

2. Medical Aid Claims Processing:

Coordinate and process medical aid claims to facilitate prompt reimbursement for medical services.

Verify medical aid coverage and ensure accurate submission of claims with required documentation.

Follow up on outstanding medical aid claims, resolving any issues or denials in a timely manner.

3. Payment Collections:

Contact patients and medical aids to secure outstanding payments, utilizing appropriate communication channels, and maintaining a professional demeanor.

Minimum Requirements:

• Proven experience as a Credit Controller, preferably within the medical or healthcare industry.
• Good knowledge of Elixir Live, Healthbridge, Vericlaim or EMD.
• Strong knowledge of medical billing procedures, insurance claims, and healthcare regulations.
• Familiarity with medical coding (CPT, ICD-10) and terminology.
• Excellent communication and interpersonal skills.
• Proficient in using billing and financial software.
• Attention to detail and accuracy in financial data management.
• Ability to work independently and collaboratively in a fast-paced environment.
• Strong problem-solving and negotiation abilities.
• High ethical standards and ability to handle confidential patient information.

GJM Ultra Holdings (Pty) Ltd