Medical Credit Controller (ICD10 Coding Experience required) - Johannesburg

Glasshouse Recruiting; Johannesburg; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A medical staffing agency in Johannesburg is seeking a Medical Credit Controller with ICD10 coding experience. The role includes implementing credit control procedures and collecting payments for specialist patient accounts. Ideal candidates will have experience with medical aids and possess strong communication skills. The package ranges from R18 000 to R22 000 monthly, with a yearly bonus target based on performance.

Qualifications

• Experience in collecting for specialist patient accounts with medical aids.
• Proficient in credit control procedures.

Responsibilities

• Implement credit control procedures for medical professionals.
• Collect payments and resolve claim issues with medical aids.
• Monitor outstanding claims and ensure timely follow-up.

Skills

ICD10 Coding

Credit Control/Debt Collection

Follow-up Communication

Education

Matric

Job description

Medical Credit Controller (ICD10 Coding Experience required) - Johannesburg

Johannesburg, South Africa

About the job Medical Credit Controller (ICD10 Coding Experience required) - Johannesburg

Mandatory Qualification: Matric

Mandatory Experience: ICD10 Coding & Credit Control/debt collection within a medical bureau, performing collections on specialist doctors' patient accounts

Key Responsibilities:

• Implement credit control procedures for specialist doctors and Allied Professionals in accordance with our credit control/debt collection policy
• Experience in collecting payments for specialist patient accounts with medical aids, with proficiency in at least four of the following specialties: Surgeon, Gynaecologist, Paediatrics, Urology, Physiotherapy, General Practitioner (GP), Physician and Psychiatry
• Follow up with medical aids to ensure prompt payment of outstanding claims
• Apply any necessary fixes or adjustments to claims
• Monitor and follow up on claims related to Prescribed Minimum Benefits (PMB), providing relevant documentation as required
• Collect payments directly from patients for accounts where they are liable.
• Perform daily reconciliation of Electronic Remittance Advice (ERA) and bank statements
• Obtain and input manual Remittance Advices (RAs)
• Resolve rejections from medical aids and upfront claim rejections
• Submit paper claims when electronic submission is not possible
• Provide timely responses to inquiries from both medical practices and patients
• Follow the handover process once the collection process is completed
• Perform any additional duties as requested by supervisors and management

Package:

• R18 000 to R22 000 (depending on experience)
• Yearly bonus target based

Location:

• Hours: Monday to Friday from 8am to 4:30pm - office based