Debtors Controller at Netcare

ROLE SUMMARY

• The Debtors Controller will be responsible for ensuring the achievement of collection targets essential to the profitability of the Hospitals. The incumbent has an overall responsibility to manage, control and collect all outstanding monies due to the Hospital in terms of his/her responsibility in line with the Netcare strategic themes.

KEY WORK OUTPUT AND ACCOUNTABILITIES

DISRUPTIVE INNOVATION

Debtors Control function

• Manage and attend to Debtors books and not limited to: Medical Aid accounts, Private/ foreign accounts, MVA accounts, Estate late accounts, Arrangements accounts, Handed over accounts, Clearing accounts follow up, Exception accounts follow up and Credit manager report follow up.
• Ensure accurate billing by checking MCR's daily.
• Manage and attend to all switch application rejections and re-submit when necessary.
• Ensure follow up on pending claims not submitted to Medical Aid.
• Prepare and submit journals for authorisation.
• Ensure timeous processing of authorised journals.
• Consult with patients referred by pay point regarding outstanding balances and arrange payment agreements.
• Identify long outstanding accounts and contact patient to arrange for settlement.
• General management and administration pertaining to outstanding debt as per the Standard Operating Procedure.
• Identify possible high-risk accounts to be handed over.
• Identify possible bad debt accounts and obtain the necessary approval for processing.
• Ensure debtor days are in line with company targets.
• Have a clear understanding of PMB conditions and rules.
• Daily monitoring of collections and diarise each case.
• Print and follow up on unallocated payments.
• Manage and attend to all rejections on remittance advices from third parties, i.e. medical schemes, WCA, Insurances etc.
• Manage private accounts by printing a daily age analysis report and contact the patient to arrange for full settlement.
• Prepare estimates for Private Patients.
• Handle queries relating to accounts outstanding.
• Ensure formal payment arrangements are in place.
• Reconciliation of Remittance advice.
• Follow up on payment arrangements.
• Follow up on signed Practitioner Risk Forms for payment and ensure necessary actions are taken.
• Submit the short payments and over payments report by Medical Aid daily and monthly to supervisor for review.
• Daily resolving collection items on your work list.
• Identify over payments and forward request for refund-to-refund clerk.
• System and Reporting
• Transfer unpaid medical scheme balances to patient liable and insert comment.
• Generate reports, interpret data and action accordingly.
• Printing and mailing of patient statements on a monthly basis.
• Compliance Management
• Compliance to Company Policy & Procedure.
• Adherence to the CSA (Controlled self-assessment) audit standards.
• Manage compliance to repeat audit findings.

TRANSFORMATION OF OUR SOCIETY

Build and maintain stakeholder relationships

• Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
• Develop collaborative relationships to help accomplish work goals.
• Participate in monthly meetings to discuss issues and give feedback.

Teamwork

• Actively participate as a member of a team to achieve goals.
• Personal and professional development
• Assume responsibility for own personal and professional development.
• Keep up to date with Netcare’s evolving policies and procedures.

PHYSICAL REQUIREMENTS

• In the event of any physical or psychological limitation that may impair the employee’s ability to perform the required job function, the employee must consult the employer for reasonable accommodation.

WORKING CONDITIONS

• Professional flexibility in working hours while supporting daily business hours.
• Will interact with internal and external customers through several different means.
• Travel within and across regions to support the functions of the role may be required.