East London: Medical Admin Clerk

Job Summary: Obtain timeous and accurate authorization from medical aid so patient can start treatment as soon as possible. Billing of medical aids and patients for Hospital/ Rooms consultations and treatment received. Follow up of all rejected medical aid and patient accounts. Responsible for the collection of payments made by patient and issue a receipt. Controlling of practice age analysis and keeping it to a minimum. Minimum Requirements: · Matric · 2 Years in billing (ideally Vericlaim) Key Requirements Authorisation Process: To register patients on the oncology program. To complete and send the completed SAOC forms to the medical aid Must follow up on the outstanding Authorisations Check received authorisation prior to start of treatment Do date extensions Load all documents on the EMR system. Responsible for re-auths or/and adjustments Upkeep of stats Upkeep of registers Expected Results: Prompt and accurate process Minimal delays for excellent private patient care Availability of recorded documents when needed as proof Smooth workflow Billing Process: Registration of PMB conditions with Medical Aid Bill patients for treatment received and consultations Billing insurance forms completed by doctors Action rejected billing codes and follow up with medical aids Work through practice age analysis and follow up on outstanding fees Patient care and rendering of a quality service: Assist with telephonic queries Feedback to doctors and management team regarding auth process Laisse with stakeholders including hospital regarding booking patients for treatment. Hands-on problem Solving and assistance with any queries Smooth patient experience