Medical Credit Controller; ICDCoding

Medical Credit Controller (ICD
10 Coding Experience required) - Johannesburg

Johannesburg, South Africa

Mandatory

Qualification:

Matric

Mandatory

Experience:

ICD
10 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