Oncology Administrator at Melomed Private Hospitals

Description

• Manage the oncology debtors’ book to ensure effective financial control and revenue recovery.
• Maintain the Age Analysis in line with collection targets and follow up on outstanding accounts.
• Submit, monitor, and follow up on medical aid claims within regulated timeframes.
• Investigate and resolve claim rejections, short payments, and discrepancies.
• Reconcile medical aid remittances and ensure accounts are accurately updated.
• Monitor stale claims and escalate or resolve prior to write-off approvals.
• Process refund requisitions and ensure supporting documentation is accurate and complete.
• Provide operational guidance to oncology ward clerks and billing staff to support compliance with credit control processes.
• Provide hands-on operational support during peak periods to ensure deadlines and collection targets are achieved.
• Conduct spot-checks and audits to ensure account accuracy and adherence to billing requirements.
• Prepare and maintain accurate reporting of collection activities, administrative records and reports.
• Build and maintain professional relationships with medical aids, patients, and internal stakeholders.
• Ensure strict adherence to company policies, procedures, and confidentiality requirements.

Requirements

• Grade 12
• A tertiary qualification will be advantageous
• Minimum of five years’ experience as an Oncology Administrator, with supervisory or team leadership exposure
• Proven ability to guide, develop, and motivate team members
• Sound knowledge and experience relating to debtors’ administration and credit control in the private healthcare environment
• Understanding of Prescribed Minimum Benefits (PMB) process, ICD-10, CPT codes, and hospital billing rules
• In-depth knowledge of the NHN Billings Guidelines, SAOC and ICON
• Strong interpersonal, influencing, communication and problem-solving skills
• Excellent attention to detail and accuracy
• Excellent computer skills
• Ability to work effectively within a team
• Ability to work in a pressurised environment