Credit Controller at Melomed Private Hospitals

Requirements:

• Grade 12 
• Tertiary Qualification will be advantageous
• Three years’ experience as a Credit Controller
• Sound knowledge and experience relating to debtors’ administration and credit control in the private healthcare environment
• Dynamic person with interpersonal skills, strong influencing, and communication skills
• Excellent attention to detail
• Excellent computer skills
• Ability to work well within a team
• Ability to work in a pressurised environment 
• Understanding of prescribed minimum benefits (PMB) process
• Understanding of ICD-10, CPT and hospital billing rules
• In-depth knowledge of the NHN Billings Guidelines

Key Outputs:

• Recover outstanding debt from the medical aid schemes, insurers, patients, members, and guarantors.
• Effectively manage the outstanding debt to prevent bad debt write offs and stale claims.
• Manage and work through the age analysis on a daily basis.
• Control outstanding medical aid accounts by processing and submitting all medical aid claims within the required time frame. 
• Accurately record the collection status and relevant collection notes of each account.
• Prepare documentation of all accounts in connection with their remittances.
• Capture the remittances and reconcile all claims allocated. 
• Process refund requisitions.
• Liaise with the medical aid schemes and patients to resolve account queries/shortfalls.
• Complete daily additional functions accurately.
• Adhere to company policies and procedures and uphold the image of the company in a professional manner.