Bill Auditor at Busamed

Summary

• The Bill auditor will be responsible for assessing patients’ files for accurate accounting with scale of benefits and ARM Contracts, assisting the Quality Review & oversee the bill audit process.

Requirements

• Grade 12 or equivalent NQF level 4 qualification
• Nursing qualification advantageous
• 3 years working experience in the same position

Work Experience

• Working experience in private health or health care funding industry will be advantageous
• Working experience on SAP will be advantageous
• Previous Billing Auditor experience will be advantageous
• Intermediate computer skills (Excel and Word)
• Excellent Interpersonal and communication skills
• Minimum three years’ experience using Scale of Benefit and ARM
• Assessment of patients’ files to ensure that all surgical, ethics, gases and equipment are recorded on account as per actual use
• Assessing of accommodation

Knowledge

• Application of ARM contract
• Effective auditing of ICD and CPT codes and accounts
• Cope well under pressure
• Work late on month end or as requested by Patient Service Manager
• Ensure that all accounts pertaining to specific months are billed and unbilled cases are monitored
• Manage the medikredit screen
• Manage the billing rejection with TAT
• Monitor the number of accounts billed per day and the values thereof on a tracker report
• Cross walk equipment’s invoices from creditors to maintain correct billing
• Active participate as a member of team to achieve goals
• Active involvement in own professional development to maintain a satisfactory level of skills and knowledge
• Keep up to date with evolving policies and procedures
• To oversee the file assessor within the department\

Deadline:10th August,2026