Medical Debtors Clerk

Qetello Holdings; Pretoria; On-site; ZAR 134,000 - 201,000; Full time

Benefits offered by this job

Market-related remuneration

Medical aid and pension/provident fund

Performance incentives

Stable, professional healthcare enviro

Job summary

Qetello Holdings is seeking a detail-oriented Medical Debtors Clerk to support claims, billing, and debt collection. The role emphasizes timely claim submission, follow-up with medical schemes, patients, and funders, and strict adherence to regulatory rules.

You will handle tariff coding, maintain records, and strive for 30-day settlements while upholding confidentiality and professional standards in a busy healthcare billing environment.

Qualifications

• 2–3 years in medical billing, debtors, or healthcare administration.
• Working knowledge of medical schemes and billing processes.
• Experience with medical billing systems (e.g. Elixir / E-Live).
• Proficiency in MS Outlook, Word, and Excel.

Responsibilities

• Capture, process, and manage medical claims accurately and timeously.
• Allocate and manage assigned medical practices and their full account portfolios.
• Ensure correct tariff coding, billing compliance, and documentation per discipline requirements.
• Maintain accurate electronic and manual patient records.
• Follow up on outstanding claims with schemes, patients, and third parties.
• Resolve rejections, short payments, and queries efficiently.
• Monitor account ageing and implement proactive collection strategies.
• Liaise with funders, schemes, and patients via email and phone.
• Ensure work complies with SAMA, SASA, HPCSA, PMB, and third-party rules.

Skills

Attention to detail

Verbal and written communication

Independence and teamwork

Planning and organising

Deadline-driven

Problem solving

Professionalism and confidentiality

Resilience under pressure

Education

Matric (Grade 12)

Tools

Elixir

E-Live

MS Outlook

MS Word

MS Excel

Job description

Introduction

An established medical billing bureau is looking to appoint a detail-oriented Medical Debtors Clerk to support its claims and billing operations. This position is suited to an experienced individual with a strong background in medical billing and debtors management who thrives under pressure and meets strict deadlines.

The role focuses on accurate claim submission and follow-up, ensuring optimal settlement timelines while maintaining professional and ethical engagement with patients, medical schemes, and third-party funders.

Duties & Responsibilities

Administrative & Billing Functions

• Capture, process, and manage medical claims accurately and timeously.
• Allocate and manage assigned medical practices and their full account portfolios.
• Ensure correct tariff coding, billing compliance, and documentation per discipline requirements.
• Maintain accurate electronic and manual patient records.
• Perform general administrative duties related to billing and claims management.

Debtors & Collections

• Follow up on outstanding claims with medical schemes, patients, and third parties.
• Resolve rejections, short payments, and queries efficiently.
• Monitor account ageing and implement proactive collection strategies.
• Liaise professionally with funders, schemes, and patients via email and telephone.

Compliance & Quality Control

• Ensure all work complies with:
  • SAMA guidelines
  • SASA billing rules
  • HPCSA regulations
  • Medical Scheme rules and PMB requirements
  • Compensation Commissioner and other third-party payer rules
• Adhere strictly to company policies, procedures, and confidentiality standards.
• Support the company objective of claim settlement within 30 days of service delivery.

Desired Experience & Qualification

Minimum Requirements

• Matric (Grade 12)
• 2–3 years’ experience in medical billing, debtors, or healthcare administration
• Working knowledge of medical schemes and billing processes
• Experience with medical billing systems (e.g. Elixir / E-Live / scheme portals)
• Proficiency in MS Outlook, Word, and Excel

Key Competencies & Skills

• High attention to detail and accuracy
• Strong verbal and written communication skills
• Ability to work independently and collaboratively within a team
• Excellent planning, organising, and follow-up skills
• Deadline-driven with strong time management abilities
• Ability to use initiative to resolve operational challenges
• Professional, ethical, and discreet handling of sensitive information
• Resilience and ability to work under pressure

Technical Skills

• Knowledge of medical billing systems (e.g. Elixir, E-Live, switching platforms, medical scheme portals)
• Understanding of PMB claims and scheme-specific rules
• Proficiency in Microsoft Office (Outlook, Word, Excel)

Company Values & Behavioural Expectations

Employees are expected to embody the following values in all aspects of their work:

• Proactive – Anticipating and resolving issues before escalation
• Efficient – Delivering accurate work within agreed timelines
• Accurate – Maintaining precision in all billing and data capture
• Honest – Acting with integrity and transparency
• Respectful – Maintaining professional relationships with all stakeholders
• Dynamic & Adaptable – Responding positively to change
• Creative – Identifying opportunities to improve processes and service delivery

Package & Remuneration

What’s on Offer

• Market-related remuneration
• Medical aid and pension/provident fund (where applicable)
• Performance incentives
• Stable, professional healthcare environment