Medical Billing Administrator
We are seeking an experienced Medical Billing Administrator to join our dynamic healthcare financial services team. This is an excellent opportunity for a skilled professional to manage billing operations for general practitioner and specialist medical practices.
Key Responsibilities:
- Perform diary and theatre billing for general practitioners and specialist practices
- Provide cost estimates and conduct cost analysis of errors on medical aid remittances
- Submit claims to medical aids and allocate remittances via ERA (Electronic Remittance Advice) system
- Handle patient account queries with professionalism and accuracy
- Follow up on outstanding accounts, short payments (including PMBs), and claim rejections
- Reconcile bank account payments and remittances
- Conduct medical aid and patient age analysis
- Review bad debts and follow up on outstanding patient bills
- Calculate assistant payments and maintain accurate records
- Attend weekly status meetings and contribute to team objectives
Essential Requirements:
- Matric certificate
- Minimum 5 years of debtors and collections experience
- In-depth knowledge of the medical environment including ICD10 codes, RPL procedure codes, application of modifiers, and PMB processes
- Proficient in Microsoft Excel
- Experience working with Healthbridge, VeriClaim, GoodX, Med Edi/Practice Perfect, and Elixir software
- Fully bilingual (English/Afrikaans)
- Strong problem-solving abilities and capacity to work independently
- Ability to thrive in a fast-paced environment
- Experience with general practitioner or specialist practices
Job Types: Full-time, Permanent
Pay: R10 000,00 - R20 000,00 per month
Ability to commute/relocate:
- Durbanville, Western Cape 7550: Reliably commute or planning to relocate before starting work (Preferred)
Application Question(s):
- Preferred Salary
Education:
- High School (matric) (Required)
Experience:
- debtors and collections: 5 years (Required)
Location:
- Durbanville, Western Cape 7550 (Preferred)
Work Location: In person