Job Description
About the Role
We are partnering with a leading, highly reputable medical practice management and billing solutions bureau, seeking an experienced Medical Billing Specialist to join a team of industry experts. The successful candidate will utilize their deep knowledge of multiple practice management systems to ensure fast, accurate, and highly effective claim processing and debt recovery.
Key Responsibilities
- Manage end-to-end electronic claim submissions (EDI) and real-time medical aid switching.
- Proactively follow up on unpaid claims, investigate rejections, and resolve short payments with medical schemes to minimize revenue leakage.
- Perform accurate payment allocations, send patient account statements, and handle billing inquiries.
- Execute effective credit control and debt collection strategies, ensuring practice debt older than 60 days is aggressively minimized.
- Apply accurate ICD-10 coding, clinical tariffs, and PMB (Prescribed Minimum Benefits) rules across diverse medical specialties.
- Generate and analyze customized financial reports, identifying billing challenges and improving administrative workflows.
- Provide ongoing support and maintain excellent communication between the bureau, medical practitioners, and patients.
Requirements
- Experience: At least 3 years of proven experience in medical billing, claims administration, or working directly within a medical billing bureau environment.
- Software Proficiency: Must have hands-on, practical experience operating across multiple established medical billing platforms.
- Industry Knowledge: Thorough understanding of the South African healthcare funding landscape, medical aid scheme rules, and strict compliance/POPIA requirements.
Qualifications
No formal education or certifications mentioned in the original description. Therefore, this section is skipped.
Salary & Benefits
No salary information provided in the original description. Therefore, this section is skipped.
How to Apply
Click the green “Go Apply” button below to apply directly online with the employer.
About Accounting / Finance Jobs in Mangaung
Mangaung, South Africa is home to a diverse range of industries, with accounting and finance roles playing a crucial part in many sectors. Typically, companies in Mangaung are seeking accountants and finance professionals who can provide expert financial management, planning, and analysis services. Generally, the demand for skilled accounting and finance talent remains high in this region.
In terms of compensation, salaries for accounting and finance positions in Mangaung often fall within broad ranges. For example, a Chartered Accountant (CA) with 3-5 years of experience may expect to earn between R400,000 and R600,000 per annum, depending on the company size, industry sector, and level of expertise. Typically, senior roles or those in large corporations can command higher salaries, often ranging from R800,000 to R1,200,000 per annum. However, these figures are only a general guide and may vary significantly depending on individual circumstances.
Common skills for accounting and finance roles in Mangaung include proficiency in financial software such as SAP or Excel, strong analytical and problem-solving abilities, attention to detail, effective communication and interpersonal skills, and a basic understanding of taxation laws and regulations. Typically, employers also look for candidates with a degree in Accounting (BCom or BAcc) or Financial Management and relevant professional qualifications like the CA (South Africa) designation.
Many industries commonly employ accountants and finance professionals, including financial services sector companies, technology industry firms, manufacturing sector organisations, and government entities. Often, these roles involve providing expert financial management, budgeting, and forecasting services to support business growth and strategic decision-making.
In terms of career development, accounting and finance professionals in Mangaung often have opportunities for advancement within their current organisation or transition into leadership roles in related fields like business consulting or risk management. Typically, with 5-10 years of experience, individuals can expect to take on more senior roles or assume specialisation areas such as tax or financial planning.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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