Medical Billing & Collections Specialist

Simply HR Payroll; Howick; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Simply HR Payroll is seeking an experienced Collections Clerk for our private healthcare group’s Head Office finance team in Howick, KwaZulu-Natal. You will manage medical debtor accounts, follow up on medical aid claims, resolve payment discrepancies and ensure timely collections from medical aids and private patients.

The role requires strong medical debtors and hospital billing experience, with proficiency in Excel, the ability to handle high volumes and meet collections targets, and a keen

Qualifications

• Grade 12 / Matric is essential.
• Previous experience in medical debtors, hospital collections or healthcare accounts receivable is essential.
• Sound knowledge of medical aid billing, claims submissions, rejections and short payments.
• Experience liaising with medical aids, funders and private patients.
• Good understanding of debtor ageing reports, reconciliations and collection procedures.
• Proficiency in Microsoft Excel.
• Experience using hospital billing or patient administration systems.
• Strong numerical accuracy and attention to detail.
• Ability to manage a high volume of accounts and meet collections targets.

Responsibilities

• Follow up on outstanding medical aid and private patient accounts to ensure timely payment.
• Monitor debtor ageing reports and prioritise overdue accounts.
• Investigate and resolve rejected, unpaid and short-paid medical aid claims.
• Liaise with medical aids, funders and hospital administration teams to resolve outstanding payments.
• Follow up on outstanding patient balances and negotiate payment arrangements where appropriate.
• Reconcile debtor accounts and investigate payment discrepancies.
• Process payment allocations, adjustments and account corrections.
• Maintain accurate records of collections, correspondence and payment arrangements.
• Identify recurring claims rejection issues and elevate unresolved matters.
• Work towards monthly collections targets and assist in reducing debtor days.
• Prepare collections reports and provide updates on outstanding accounts.
• Ensure compliance with billing procedures, company policies and patient confidentiality requirements.

Skills

Numerical accuracy

Attention to detail

Account management

Target-driven

Stakeholder communication

Education

Grade 12 / Matric

Tools

Microsoft Excel

Hospital billing systems

Job description

Simply HR Payroll is seeking an experienced Collections Clerk for our private healthcare group’s Head Office finance team in Howick, KwaZulu-Natal. You will manage medical debtor accounts, follow up on medical aid claims, resolve payment discrepancies and ensure timely collections from medical aids and private patients.

The role requires strong medical debtors and hospital billing experience, with proficiency in Excel, the ability to handle high volumes and meet collections targets, and a keen