Job Description
Key Responsibilities:
- Follow up on outstanding claims and payments to ensure overdue accounts are addressed.
- Validate patient account charges, reconcile invoices, and resolve discrepancies.
- Perform detailed aged debt analysis and maintain comprehensive notes on all accounts.
- Manage and resolve patient account queries, disputes, and PMB escalations.
- Liaise directly with medical aid schemes and patients regarding payment disputes.
- Maintain accurate records of doctor-specific DSP arrangements and requirements.
- Submit electronic and paper claims and maintain rigorous submission records.
- Prepare detailed reports on collection performance, write-offs, and recovery trends.
- Collaborate with the billing team to support claim resubmissions, appeals, and adjustments.
- Identify high-risk accounts and recommend appropriate legal action or settlements.
Requirements:
- Matric (Grade 12) certificate (essential).
- Minimum of 3 years’ experience as a Credit Controller specifically within the medical industry (essential).
- Proficiency in Microsoft Office and medical billing software (e.g., Elixir Live, MedEDI, iHealth, Vericlaim, or GoodX).
- Strong understanding of medical billing processes, reimbursement methods, and ICD coding.
- Knowledge of SAMA billing guidelines and medical aid scheme rules (advantageous).
- Experience with WCA and eCOIDA processes (highly advantageous).
- Experience with paper claim submissions.
Attributes:
- Exceptional communication and negotiation skills.
- Highly organized with a methodical approach to reconciliation.
- Ability to build strong professional relationships with doctors and medical schemes.
- Resilient and persistent in resolving complex account disputes.
- Strong analytical skills for identifying debt trends and risks.
Remuneration:
R15 000 – R17 000 CTC
**Please note that only shortlisted candidates will be contacted**
How to Apply
Click the green “Go Apply” button below to apply directly online with the employer.
About Office Automation Jobs in Gauteng
In Gauteng, South Africa, the office automation field is experiencing steady growth due to the increasing demand for digital transformation and process efficiency. Typically, this sector drives business operations forward by automating routine tasks, improving data management, and enhancing overall productivity. Generally, office automation roles are in high demand across various industries, making it an attractive career path for job seekers.
When it comes to salaries, it’s essential to note that salary ranges vary widely depending on factors such as experience, company size, and industry sector. Broadly speaking, a common salary range for office automation professionals in Gauteng is typically between R500 000 to R1 million per annum, with some senior roles potentially exceeding this amount. However, please be aware that actual salaries may differ significantly due to individual circumstances.
Common skills required for office automation roles include proficiency in Microsoft Office software, experience with document management systems, knowledge of cloud-based applications, programming languages such as Python or Java, and data analysis skills. Typically, candidates with a degree in information technology or a related field are well-suited for these roles. Additionally, strong analytical and problem-solving skills, attention to detail, and excellent communication abilities are often essential.
Office automation professionals can be found across various industries, including the financial services sector, technology industry, manufacturing sector, and public administration. These roles often involve working closely with colleagues to implement process improvements, ensure data accuracy, and maintain system integrity.
Career development opportunities abound for office automation professionals in Gauteng. Typically, job seekers can expect career progression through promotions to senior roles or specialising in a specific area of interest, such as cloud computing or cybersecurity. Many companies also offer training and development programs to equip employees with the latest skills and technologies. By acquiring new skills and staying up-to-date with industry trends, office automation professionals can enjoy a fulfilling and rewarding career in this dynamic field.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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