- Johannesburg
- Salary: Market Related
- Job Type: Permanent
- Sectors: General
- Reference: 2259379
Vacancy Details
Employer: HR Studio (Pty) Ltd
We’re looking for…
Are you an experienced Medical Billing & Collections Administrator looking for a role where your attention to detail and organizational skills make a real impact? Join our clients healthcare team and play a vital role in ensuring the smooth processing of patient claims and payments. If you have a strong background in medical funder interactions, claims processing, and collections, we’d love to hear from you!
What’s the role?
You will be responsible for:
Medical Billing & Claims Processing:
- Review and process weekly hospital stats for billing accuracy.
- Capture patient details and treatment codes into the system.
- Submit and track claims via the in-house system.
- Investigate and resolve claim rejections—resubmit where necessary.
- Follow up on remittance advices and liaise with funders on rejected claims.
- Ensure all necessary information is included for claim approvals.
Collections & Payments:
- Generate and analyse age analysis reports weekly.
- Maintain a summary spreadsheet to track outstanding accounts.
- Follow up with funders, government institutions, or patients regarding outstanding payments.
- Request and verify Proof of Payment (POP) from payers.
- Reconcile received payments with system records and update accordingly.
- Provide weekly reports on collections, expected payments, and outstanding debts.
- Maintain proactive communication with funders to keep accounts up to date.
Candidate Requirements
Who are you?
- You have strong attention to detail and accuracy in data entry.
- You have excellent communication skills to liaise with funders, patients, and internal teams.
- You have excellent attention to detail and organizational skills.
- You have strong organizational and reporting skills.
Boxes to tick…
- Matric
- 2+ years experience in the relevant field
- Experience in medical billing, claims processing, or collections.
- Familiarity with Solumed or similar medical billing software.
- Ability to handle funding queries and resolve claim disputes.
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