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Salute
A leading medical services provider in South Africa is seeking an individual to manage medical accounts and practices through the VeriClaim system. Responsibilities include reconciling payments, registering practitioners, and client communications. Applicants should possess excellent organizational skills, knowledge of medical schemes, and proficiency in the VeriClaim system.
Managing practices assigned to the Bureau Officer in accordance with the job functions as set out below.
Reconciliation of receipts and payments onto the VeriClaim system within two working days from receiving the documentation from all allocated practices.
Registering new Bureau practitioners on medical schemes websites.
Obtaining funder remittances on a regular basis from scheme websites.
Sending of monthly statements via the VeriClaim system to the patients, in accordance with each practice's requirements.
Regular follow-up with medical schemes and patients regarding patient liability outstanding balances – Follow Credit Control Cycle Standard Operating Procedure (SOP) and monthly action plan.
Professional and efficient handling of telephonic and email account enquiries from patients, practices and funds.
Effective management of each allocated practice's age analysis to limit bad debt to within acceptable norms.
Ensure all practice policies and procedures are maintained and adhered to.
Maintaining confidentiality of client and other confidential information at all times.
Provide relevant and constant feedback (as per requirement of each practice) to each practice via system notes, emails and telephone calls.
Keep the Bureau Manager, In Field and Sales Consultants informed of all sensitive practice or procedural issues.
Maintaining a professional and positive attitude with clients and colleagues at all times.
Report any VeriClaim technical- and functional-related issues via the VeriClaim ticketing system.
Maintain a current working knowledge of all healthcare-related issues and regulations and of the VeriClaim system.
Excellent organizational and time management skills.
Effective verbal and written communication skills.
Excellent telephone etiquette.
Deadline focused.
Analytical thinker.
Customer focused and ability to build and maintain good relationships with clients.
Problem solving ability.
Knowledge of the private medical schemes industry.
Expert knowledge of the VeriClaim system.
Working knowledge of Outlook, Word and Excel (MS Office Product Suite).
NOTE : This role specification is not intended to be all-inclusive.
The employee may perform other related duties to meet the ongoing needs of the organisation.
* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.