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.