Medical Invoice Processor - Parktown at Rand Mutual - RMA

• As a Medical Invoice Processor, you will be responsible for processing medical invoices effectively and efficiently.

WHAT WILL YOU DO?

• Handling 200 invoices per day (includes capturing, duplicates & queries), Daily targets to be achieved daily.
• Accurate assessment of invoices prior to capturing according to set criteria and company business rules in respect of liability. Using the COIDA Tariffs and any other agreed Tariffs.
• Ensure all queries are resolved within 24 hours, report any delays to HOD.  Knowledge and accurate application of different tariffs schedules: BHF, SAMA, COID, NRPL, ICD10 coding and Nappi Codes.
• Maximum of 5 reversals per month per user resulting out of duplicate payments, overpayments, incorrect payee and non- authorised procedures.
• Staff will not delete any invoices unless if the system delete it, unless instructed differently by the Team Leader.
• Attend to any queries that relate to incorrect processing of invoices or errors
• Ensure high standard of client relationship by means of attitude and knowledge.

WHAT YOU'LL BRING TO THE TABLE?

• Grade 12
• Relevant industry and Medical Aid qualification (advantageous)
• 2 – 3 years’ relevant industry experience