Bureau Administrative Officer

AllSpes (Pty) Ltd; Centurion; On-site; ZAR 200,000 - 300,000; Full time

Job summary

A leading company in healthcare claims management seeks a detail-oriented individual to manage various Bureau functions. The role involves ensuring timely processing of claims, maintaining communications with patients and practices, and managing reports within the VeriClaim system. Ideal candidates will possess strong organizational skills and a customer-focused attitude while being proficient in the healthcare industry.

Qualifications

• Excellent organizational and time management skills required.
• Strong verbal and written communication skills needed.
• Experience in private medical schemes industry is advantageous.

Responsibilities

• Manage reconciliation of receipts and payments on the VeriClaim system.
• Handle account enquiries from patients and practices professionally.
• Ensure compliance with practice policies and procedures.

Skills

Organizational skills

Time management

Verbal communication

Written communication

Analytical thinking

Customer focused

Problem solving

Knowledge of private medical schemes

Tools

VeriClaim system

MS Office Product Suite

Job description

Managing practices assigned to the Bureau Officer in accordance with the job functions as set out below.

Essential Job Functions :

Reconciliation of receipts and payments onto the VeriClaim system within two working days from receiving the documentation from all allocated practices.

Registering new Bureau practitioners on medical schemes websites.

Obtaining funder remittances on a regular basis from scheme websites.

Sending of monthly statements via the VeriClaim system to the patients, in accordance with each practice’s requirements.

Regular follow-up with medical schemes and patients regarding patient liability outstanding balances – Follow Credit Control Cycle Standard Operating Procedure (SOP) and monthly action plan.

Professional and efficient handling of telephonic and email account enquiries from patients, practices and funds.

Effective management of each allocated practice’s age analysis to limit bad debt to within acceptable norms.

Ensure all practice policies and procedures are maintained and adhered to.

Maintaining confidentiality of client and other confidential information at all times.

Provide relevant and constant feedback (as per requirement of each practice) to each practice via system notes, emails and telephone calls.

Keep the Bureau Manager, In Field and Sales Consultants informed of all sensitive practice or procedural issues.

Maintaining a professional and positive attitude with clients and colleagues at all times.

Report any VeriClaim technical- and functional-related issues via the VeriClaim ticketing system.

Maintain a current working knowledge of all healthcare- related issues and regulations and of the VeriClaim system.

Skills and Functional Requirements :

Excellent organizational and time management skills.

Effective verbal and written communication skills.

Analytical thinker.

Customer focused and ability to build and maintain good relationships with clients.

Problem solving ability.

Knowledge of the private medical schemes industry.

Expert knowledge of the VeriClaim system.

Working knowledge of Outlook, Word and Excel (MS Office Product Suite).

NOTE : This role specification is not intended to be all-inclusive. The employee may perform other related duties to meet the ongoing needs of the organisation.

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