Pretoria: Medical Debtors Clerk

An established medical billing bureau in Pretoria-East is looking to appoint a detail-oriented Medical Debtors Clerk to support its claims and billing operations. This position is suited to an experienced individual with a strong background in medical billing and debtors management who thrives under pressure and meets strict deadlines. The role focuses on accurate claim submission and follow-up, ensuring optimal settlement timelines while maintaining professional and ethical engagement with patients, medical schemes, and third-party funders. Key Responsibilities Administrative & Billing Functions Capture, process, and manage medical claims accurately and timeously. Allocate and manage assigned medical practices and their full account portfolios. Ensure correct tariff coding, billing compliance, and documentation per discipline requirements. Maintain accurate electronic and manual patient records. Perform general administrative duties related to billing and claims management. Debtors & Collections Follow up on outstanding claims with medical schemes, patients, and third parties. Resolve rejections, short payments, and queries efficiently. Monitor account ageing and implement proactive collection strategies. Liaise professionally with funders, schemes, and patients via email and telephone. Compliance & Quality Control Ensure all work complies with: SAMA guidelines SASA billing rules HPCSA regulations Medical Scheme rules and PMB requirements Compensation Commissioner and other third-party payer rules Adhere strictly to company policies, procedures, and confidentiality standards. Support the company objective of claim settlement within 30 days of service delivery. Minimum Requirements Matric (Grade 12) 2–3 years’ experience in medical billing, debtors, or healthcare administration Working knowledge of medical schemes and billing processes Experience with medical billing systems (e.g. Elixir / E-Live / scheme portals) Proficiency in MS Outlook, Word, and Excel Key Competencies & Skills High attention to detail and accuracy Strong verbal and written communication skills Ability to work independently and collaboratively within a team Excellent planning, organising, and follow-up skills Deadline-driven with strong time management abilities Ability to use initiative to resolve operational challenges Professional, ethical, and discreet handling of sensitive information Resilience and ability to work under pressure Technical Skills Knowledge of medical billing systems (e.g. Elixir, E-Live, switching platforms, medical scheme portals) Understanding of PMB claims and scheme-specific rules Proficiency in Microsoft Office (Outlook, Word, Excel) Company Values & Behavioural Expectations Employees are expected to embody the following values in all aspects of their work: Proactive – Anticipating and resolving issues before escalation Efficient – Delivering accurate work within agreed timelines Accurate – Maintaining precision in all billing and data capture Honest – Acting with integrity and transparency Respectful – Maintaining professional relationships with all stakeholders Dynamic & Adaptable – Responding positively to change Creative – Identifying opportunities to improve processes and service delivery What’s on Offer Market-related remuneration Medical aid and pension/provident fund (where applicable) Performance incentives Stable, professional healthcare environment To Apply: Submit your CV and supporting documents to