Medical Debtors Clerk

Medical Resources Group (Pty) Ltd; Pretoria; On-site; ZAR 50 000 - 200 000; Full time

Job description

An established medical billing bureau in Pretoria-East 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.

Key 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.

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

What’s on Offer

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

To Apply:

Submit your CV and supporting documents to recruitment@.za
Reference: Medical Debtors Clerk

If you do not receive feedback within two (2) weeks of your application, please consider your application unsuccessful.