Medical Debtors Clerk
Location: Pretoria East, Gauteng
Industry: Medical Billing | Healthcare Administration
Employment: Permanent Position
An established medical billing bureau is looking to appoint a detail-oriented and experienced Medical Debtors Clerk to support its medical billing, claims, and debtors operations.
This position is suited to an individual with a strong background in medical billing and debtors management, including direct billing experience for Anaesthesiologists and Gynaecologists. The successful candidate must be able to work accurately under pressure, meet strict deadlines and manage assigned account portfolios effectively.
The role focuses on accurate claim submission and follow-up, ensuring optimal settlement timelines while maintaining professional and ethical engagement with patients, medical schemes and third-party funders.
Key Responsibilities
Administrative and Billing Functions
Capture, process and manage medical claims accurately and timeously.
Allocate and manage assigned medical practices and their full account portfolios.
Perform direct billing for Anaesthesiologists and Gynaecologists.
Ensure correct tariff coding, modifier use, billing compliance and supporting documentation according to discipline-specific requirements.
Maintain accurate electronic and manual patient records.
Perform general administrative duties relating to medical billing and claims management.
Debtors and Collections
Follow up on outstanding claims with medical schemes, patients and third-party funders.
Resolve rejected claims, short payments, outstanding information and account queries efficiently.
Monitor account ageing and implement proactive collection strategies.
Liaise professionally with medical schemes, funders, healthcare practitioners and patients by telephone and email.
Support the company’s objective of achieving claim settlement within 30 days of service delivery.
Compliance and Quality Control
Ensure that all work complies with applicable:
SAMA guidelines
SASA billing rules
HPCSA regulations
Medical scheme rules and Prescribed Minimum Benefit requirements
Compensation Commissioner requirements
Other relevant third-party payer rules
The successful candidate will also be required to:
Adhere strictly to company policies, procedures and confidentiality standards.
Maintain a high level of accuracy and quality across all billing and debtors functions.
Identify and escalate billing trends, recurring rejections and operational risks.
Minimum Requirements
Matric or Grade 12.
At least two to three years’ recent experience in medical billing, debtors or healthcare administration
Direct billing experience for Anaesthesiologists and Gynaecologists
Working knowledge of medical schemes, claims processes and specialist billing requirements
Knowledge of ICD-10 coding, tariff codes, billing modifiers and medical scheme rules
Experience managing rejected claims, short payments, follow-ups and resubmissions
Experience using medical billing systems such as Elixir, E-Live, switching platforms and medical scheme portals
Proficiency in Microsoft Outlook, Word and Excel
Key Competencies and Skills
Exceptional attention to detail and accuracy
Strong written and verbal communication skills
Excellent planning, organising and follow-up abilities
Ability to work independently and collaboratively within a team
Strong time-management skills and the ability to meet strict deadlines
Ability to use initiative when resolving billing and operational challenges
Professional, ethical and discreet handling of confidential information
Resilience and the ability to work effectively under pressure
Company Values and Behavioural Expectations
Employees are expected to demonstrate the following values in all aspects of their work:
Proactive – Anticipating and resolving issues before escalation
Efficient – Delivering accurate work within agreed timelines
Accurate – Maintaining precision in all billing and data-capturing activities
Honest – Acting with integrity and transparency
Respectful – Maintaining professional relationships with all stakeholders
Dynamic and Adaptable – Responding positively to change
Creative – Identifying opportunities to improve processes and service delivery
What Is on Offer
Market-related remuneration
Medical aid and pension or provident fund, where applicable
Performance incentives
A stable and professional healthcare environment
To Apply
Submit your CV and supporting documents to:
recruitment2@medicalresources.co.za
Subject line/reference: Medical Debtors Clerk
Please note that only candidates with direct billing experience for Anaesthesiologists and Gynaecologists will be considered.
Should you not receive feedback within two weeks of submitting your application, please consider your application unsuccessful.
