Medical Accounts Administrator - Johannesburg

Medical Accounts Administrator - Johannesburg

Our Client, a Plastic and Reconstructive Surgeon, situated in a private hospital in the Northeast of Johannesburg, is seeking to recruit a Medical Billing, Debt Collections and Financials Clerk who is organised and proactive and who will thrive in a fast-paced environment

Duties & Responsibilities:

Medical Aid Billings:

• Accurate medical aid billing using Elixir Live software
• Maintain billing sheets, adjusting procedure & consumables codes, as required
• Update colleague information on Elixir
• Bill surgeries and submit to medical aids via Switch
• Manage medical aid reconciliations, open medical aid queries & follow up to completion
• Coordinate assistant fees
• Manage network agreements with medical aids

WCA Billing:

• Process Workers' Compensation Accounts using Vericlaim
• Ensure supporting documents are complete
• Reconcile WCA remittances and Spesnet invoices

Debt Collection:

• Send patient bills and oversee collections
• Report collection progress to the manager
• Facilitate debt handovers to collection agencies

Medical Aid Authorisations:

• Request authorisations, provide documentation, and escalate where required
• Act as a liaison between medical aids, patients, and reception
• Update procedure and ICD-10 codes with hospital case managers
• Compiling of estimates & requesting hospital estimates for private patients

Suppliers:

• Source consumable suppliers, order, and manage invoices
• Resolve billing discrepancies and manage memberships

Administrative Tasks:

• Answering of phone calls & dealing with patient queries
• Efficiently file documents
• Handle personal administration tasks
• Provide coverage for absent reception desk staff

Qualification & Requirements:

• Matric
• At least 2 years' experience in a similar medical accounts position is essential
• Knowledge of medical billing procedures, including medical aid claim submission, coding (procedure & ICD-10), and medical terminology
• Awareness of healthcare regulations, privacy laws (e.g., POPI), and compliance requirements related to billing and debt collection. Commitment to maintaining the confidentiality of patient and financial information

• Medical software experience (Elixir, VeriClaim, Switch or similar) will be an advantage
• Proficient in Microsoft Office (Excel, Word & Outlook)

• Valid driver's license and own reliable transport
• Fluent in English (verbal & written)

Skills & Attributes:

• Attention to detail
• Strong organizational skills
• Efficient time management
• Excellent communication skills
• Teamwork
• Problem solver
• Adaptable
• Customer service
• Financial acumen
• Strong administrative skills

Appointment:

ASAP

Only candidates who meet all the minimum requirements stipulated in the advert, will be considered. If you do not hear from us within two weeks of your application, please consider your application as unsuccessful.