Medical Admin Clerk

Abantu Staffing Solutions; East London; On-site; ZAR 50 000 - 200 000; Full time

Job summary

A healthcare staffing agency is seeking a Billing Specialist based in East London, South Africa. The ideal candidate will ensure timely authorizations from medical aid and bill patients accordingly. Key responsibilities include managing rejected accounts, collecting payments, and maintaining a smooth billing process. This role demands familiarity with medical billing systems and excellent communication skills for effective patient care.

Qualifications

• Minimum 2 years of experience in medical billing.
• Familiarity with the authorization process and EMR systems.
• Ability to handle patient queries and feedback.

Responsibilities

• Obtain authorizations from medical aid for patients.
• Bill medical aids and patients for treatments.
• Follow up on rejected billing codes.

Skills

Billing expertise

Communication skills

Problem-solving

Education

Matric

Tools

Vericlaim

Job description

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:

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
• Liaise with stakeholders including hospital regarding booking patients for treatment.
• Hands-on problem solving
• Solving and assistance with any queries
• Smooth patient experience