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Durban: Credit Control, Billing & Claims Administrator (Hospital)

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Job Description

About the Role

We are seeking a highly skilled Credit Control, Billing & Claims Administrator to join our team in Durban. As a key member of our healthcare administration department, you will be responsible for ensuring accurate and timely billing, claims processing, and debt collection. Your attention to detail and organizational skills will be essential in maintaining compliance with medical scheme rules and patient confidentiality regulations.

Key Responsibilities

  • Capture and verify patient billing information, including ICD-10 codes, tariff codes, and medical aid details
  • Submit, track, and follow up on medical scheme and third-party claims
  • Investigate and resubmit rejected or short-paid claims
  • Manage pre-authorisations, benefit limits, and length-of-stay extensions
  • Monitor and manage debtors age analysis (medical aids, patients, third-party payers)
  • Follow up on outstanding accounts and manage co-payments and member liability balances
  • Reconcile remittance advices and identify underpayments or discrepancies
  • Maintain accurate billing, payment, and adjustment records

Requirements

  • Matric with Mathematics or Accounting
  • Diploma or degree in Finance, Accounting, or related field advantageous
  • 2–5 years’ experience in medical billing, claims administration, and credit control
  • Experience in a hospital or inpatient healthcare setting
  • Working knowledge of ICD-10 coding, medical aid authorisations, and scheme rules
  • Experience with medical billing systems (GoodX advantageous)

Qualifications

  • No qualifications specified

Salary & Benefits

  • No salary information provided

How to Apply

Click the green “Go Apply” button below to apply directly online with the employer.

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About Accounting / Finance Jobs in eThekwini

The accounting and finance industry is a vital component of eThekwini’s economy, providing essential services to businesses, governments, and individuals. Generally, job seekers in this field can expect a stable and secure career with opportunities for growth and development. Typically, roles in accounting and finance are found across various industries, including financial services sector, technology industry, manufacturing sector, and public sector.

Salaries for accounting and finance professionals in eThekwini vary widely depending on factors such as experience, company size, and industry sector. Common salary ranges for entry-level positions typically start between R200 000 to R300 000 per annum, while senior roles can range from R500 000 to R800 000 or more. However, these figures are general estimates and actual salaries may vary significantly. It is essential to research the specific job market and industry trends to determine realistic salary expectations.

Common skills required for accounting and finance roles in eThekwini include proficiency in financial software, such as SAP or Oracle; strong analytical and problem-solving skills; excellent communication and interpersonal skills; experience with budgeting, forecasting, and financial analysis tools; a solid understanding of tax laws and regulations; and a degree in accounting or finance. Additionally, many employers require candidates to hold relevant professional certifications, such as the Chartered Accountant (SA) designation.

Accounting and finance professionals can be found across various industries, including financial services sector, technology industry, manufacturing sector, and public sector. The financial services sector is often a major employer of accounting and finance professionals in eThekwini, while the technology industry also provides many opportunities for growth and development. Other industries, such as manufacturing and construction, also require skilled accounting and finance professionals to manage their finances effectively.

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Career development opportunities are abundant in the accounting and finance field, with many employers offering training and development programs to help employees advance in their careers. Typically, experienced accountants can move into senior roles or take on leadership positions within their companies. With experience and additional certifications, accountants can transition into management roles, such as financial controller or accountant manager, or pursue career paths in finance consulting or public practice.


This information provides general career guidance. Actual salaries and requirements vary by employer.



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