Position Overview:
The successful candidate will be responsible for the daily management of the Platinum billing process, by accurately loading patient information, creating Bureau Templates, and uploading of information onto the VeriClaim system to support our Practices and Billing Team with their processes.
Essential Job Functions:
•Accurate capturing of fixed patient data onto VeriClaim as per documentation/instructions received.
•Validating patient information via family/eligibility checks on VeriClaim after detail was captured.
•Creating diary appointments for the appropriate treatment dates according to documentation/instructions received.
•Creating Bureau Templates with the billing information and any additional instruction as per the documentation/instructions received.
•Uploading/saving information received from the Practice onto VeriClaim system for future reference.
•Have a clear understanding of Billing Policies and Payment Arrangements with individual Medical Aids.
•Ensure the correct Practice policies are used when creating Bureau Templates.
•Professional & efficient handling of e-mail communication.
•Provide relevant & constant feedback to all parties involved.
•Keep the Billing Manager informed of all sensitive Practice or procedural issues.
•Provide daily feedback on tasks completed.
•Report on any VeriClaim related issues to Billing Manager.
•When required to support with billing, accurate, timeous capturing of claims and keep within the timelines of the Billing Team.
•Support with Practice audits when required.
•Maintain current working knowledge of all healthcare-related issues and regulations and the VeriClaim system.
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