Job Summary
Medical Collections Clerk
Introduction
A medical administrative service company situated in Montana is seeking an accurate and determined Collections Clerk with 3 years’ experience in a similar role to join their team.
Job Purpose:
Collects payments from medical aids, ensure that medical system is updated accordingly and follows up on incorrect payments.
Requirements
Minimum education (essential):
- National Senior Certificate
Minimum education (desirable):
- Certificate or Diploma in Administration
Minimum applicable experience (years):
- 2 - 3 years’ experience
Required nature of experience:
- Medical billing (Elixir preferred)
- Medical practitioner engagement
- Direct and telephonic engagement
- Medical Aid engagement
Skills and Knowledge Required:
- Client negotiation and persuasion
- MS Office
- Record keeping and documentation
- Debt collecting
- Elixir
- Medical aid guidelines and schemes
- ICD10 codes / procedures (desired)
- PMBs
Other:
- Afrikaans (Essential)
- English (Essential)
- Valid driver’s licence & own transport
Key Performance Areas, Weights and Objectives
Collections 70%
- Obtain procedure cards from general management.
- Create patient files on Elixir.
- Submit cards to Elixir as soon as possible, no later than 3 months after procedure.
- Review switch status of medial aids.
- Follow up on payments, 3 weeks after submission.
- Liaise with medical aids to verify accounts, sort out rejections and follow up on outstanding payments.
- Follow up, motivate and correct errors.
- Evaluate and monitor outstanding payments and follow up.
- Recon medical files in the case where something is missing.
Administration 20%
- Obtain telephonic and electronic feedback from clients timeously.
- Log all activities using relevant processes and systems accurately and completely.
- Respond to queries and follow up with feedback.
- Identify opportunities to enhance effectiveness of the company services provided to clients.
- Report on bad debts.
AD Hoc 10%
- Perform any other duties as requested from time to time.
Salary offered
Market related
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