Billing Specialist at Coloplast

Coloplast has an exciting opportunity for a Billing Specialist/Credit Controller to join our Finance team reporting to the Business Analyst – Accounts Receivable CA (SA). The successful incumbent will be responsible for the full claims and credit control function of our direct-to-consumer model (20% credit control and 80% claims).

In this position, you will be responsible for ensuring completeness and accuracy of claims submitted to medical schemes. In addition, you will support on all related credit control activity to support working capital.

Major Areas of Accountability (not limited to)

• EDI billing for all orders processed during the respective day.
• Ensuring that all rejections are followed up and cleared within 24 hours.
• Liaising with Medical Aid on claim queries.
• Maintaining Master data on Billing System.
• Working closely with Accounts Receivable department on Co- Payment feedback received from Medical Aid.
• Daily and Weekly Reporting to Management on Billing.
• Submission of documents for medical aid authorisation and providing and monitoring authorisation results.
• Follow up on overdue invoices, collections and allocating payments.
• Knowledge on ICD 10 Codes, EDI submissions and interpreting authorization letters to execute billing correctly.
• Performing reconciliations, collection, and reporting activities according to specific deadlines from medical aid.
• Investigate and resolve customer queries daily as well as with medical aids.
• Communicate with consumers via phone, email, mail or personally.
• Assist with month-end closing reporting.

Essential Qualifications

• 3+ year tertiary qualification preferred.
• 3-Year Credit Management/claims experience.
• 3+ years’ experience as a Claims Specialist with a proven knowledge of EDI processing, claim knowledge and understanding ICD 10 codes.
• Excellent organizational, coordination and communication skills.
• Medical device experience preferred.
• Knowledge of JD Edwards ERP system an advantage.

Required Knowledge, Skills and Abilities

• Own Transportation.
• Credit Vetting experience.
• Previous experience dealing with Medical Aids is an advantage.
• Compulsory: Excel Moderate skills (V-lookup, Sumifs, Pivot tables etc.)
• Well organized.
• Strong analytical thinking abilities.
• Articulate, determined mind set, and tenacious.
• Sense of urgency.
• Goal driven.
• Ability to work cross functionally with executives, managers, and other staff in a respectful and service-oriented manner, to garner cooperation and service excellence.
• Outstanding organizational and written/verbal communications skills.
• South African citizenship preferred.