Medical Billing & Debtor Clerk - Denials & AR Specialist

Qetello Holdings; Pretoria; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Medical Resources is recruiting on behalf of a Pretoria-based client for a Medical Billing/Debtor Clerk. The role focuses on accurate medical billing, denials follow-up, and compliant claims processing.

The successful candidate will have ICD-10 experience, knowledge of insurance billing including OT & Hearing Aids, and strong organizational and communication skills. This on-site position offers market-related remuneration depending on experience.

Qualifications

• Proven experience in Medical Billing/Debtor positions.
• Proficiency in medical terminology and strong knowledge of ICD-10 coding.
• Experience handling insurance claims, including OT & Hearing Aids billing.
• Skilled in managing denials and effectively resolving billing issues.
• Strong organizational, administrative, and communication skills.
• Ability to work independently as well as part of a collaborative team.
• Prior experience in medical billing or a related field is essential.
• Knowledge of relevant healthcare regulations and compliance standards.
• Minimum: High school diploma (Grade 12) or equivalent.
• Advantageous: Additional certifications in medical billing or coding.

Responsibilities

• Process and follow up on denied medical claims.
• Accurately capture patient details and insurance information.
• Verify insurance claims and submit claims to Medicare and other relevant schemes.
• Manage accounts receivable and ensure timely collections.
• Ensure compliance with ICD-10 coding standards and relevant billing regulations.
• Coordinate with insurance providers and patients to resolve billing discrepancies.
• Handle confidential patient and financial information with integrity.
• Support the finance and administration team as required.

Skills

Medical billing

ICD-10 coding

Insurance claims

Denials management

Communication skills

Independent & team

Education

High school diploma

Medical billing certification

Job description

Medical Resources is recruiting on behalf of a Pretoria-based client for a Medical Billing/Debtor Clerk. The role focuses on accurate medical billing, denials follow-up, and compliant claims processing.

The successful candidate will have ICD-10 experience, knowledge of insurance billing including OT & Hearing Aids, and strong organizational and communication skills. This on-site position offers market-related remuneration depending on experience.