Lancet laboratories: Billing Admin Clerk

Closing date: 30-07-2020

An opportunity has presented itself to appoint a suitably qualified candidate into the position of Billing Admin Clerk: Systems. This is a Permanent position based at Richmond,Auckland Park.

Job Summary:
Responsible for confirmation of claims submitted and the processing of payments and responses to accounts.

Minimum Criteria Required:
Grade 12

Experience:
1-2 Yrs Relevant Working Experience would be an advantage

Relevant Job Knowledge:
Healthcare billing procedures, documentation and standards

Key Performance Areas:

• Provides excellent customer service to ensure customer satisfaction at all times
• Required to perform other duties as assigned by management
• Attends to queries to ensure prompt and efficient response.
• Performs duties within the scope of the working instructions and SOP’s.
• Checks and reports day closure on the system to ensure continual daily operations.
• Switches on Medres to allocate payments made by medical aid.
• List medical aid rejections for the day and forwards to Medical Aid collectors to correct the errors in order for the file to be re-uploaded.
• Checks the re-uploaded file for payment and posts the batch.
• Uploads files on to Meditech for various departments which have not been automated and forwards confirmation of uploading to the departments.
• Creates suspense acc as required by the various departments and advise them accordingly.
• Checks claims for the day via intranet to ensure all claims are submitted to medical aid.
• Receive primary responses from third party (switching houses) and uploads information onto patients’ account.
• Uploads selection statistics and places on shared folder for information purposes.
• Attends to equipment faults when required to and liaises with the relevant dept if necessary
• Confirms rejected practice numbers by calling doctors rooms or checking on Medpages to ensure submission of account to medical aid.
• Updates interchange numbers on a daily basis received from the medical aid.
• Manages claim submission confirmation thereof primary responses, medical remittance upload.
• Supplies feedback on relevant system reports

Competencies:
Ability to work in a pressured environment
Accountability
Accuracy
Attention To Detail
Customer Orientation
Ethical behaviour
Professionalism

Remuneration:
Compensation is commensurate with qualification and experience level.

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