Collection Clerk (Medical Billing)

Collections Administrator

Introduction

A medical administrative service company situated in Montana is seeking an accurate and determined Collections Administrator with 3 years’ experience in a similar role to join their team.

Job Purpose:

Submit medical accounts timeously and accurately to ensure the collection of payments from medical aids and private patients.

Provide administrative support to doctors.

Requirements

Minimum education (essential):

• National Senior Certificate

Minimum education (desirable):

• Certificate or Diploma in Administration

Minimum applicable experience (years):

• 2 - 3 years’ experience

Required nature of experience:

• Medical billing (Elixir preferred).
• Medical Practitioner engagement.
• Medical Aid engagement.
• Face-to-face, telephonic, and electronic communication.

Skills and Knowledge Required:

Software:

• MS Office, especially Excel.
• Elixir Live, or similar medical billing software.

Medical accounts:

• Processing and reconciliation of medical accounts and medical aid remittance advices.
• Medical aid guidelines relating to procedures and billing, as well as Prescribed Minimum Benefits (PMBs).
• Medical procedures, including ICD10 and procedure codes.

Communication:

• Ability to clearly articulate and explain queries relating to billing and accounts.
• Always maintain a courteous and professional demeanour, even during high pressure situations.
• Take the utmost care to protect sensitive information by maintaining strict confidentiality and discretion.

General Administration:

• Record keeping and documentation.
• Debt collecting.

Other:

• Afrikaans (Essential)
• English (Essential)
• Valid driver’s licence & own transport

Key Performance Areas, Weights and Objectives

Collections 70%

• Compile quotations for private patients as per instructions from responsible doctor. Communicate such quotations to the patient before the procedure and ensure payment is made.
• Obtain procedure cards.
• Ensure medical records are complete, accurate and filed correctly for billing.
• Contact relevant person or department (such as Surgeon’s Room, Case Management, Hospital Administration, etc) to obtain missing or additional information which may be required.
• Create patient files on Elixir Live, or similar medical billing software.
• Submit accounts via medical billing software as soon accounts are received, no later than 4 months after procedure date.
• Review switch status of accounts submitted, as well as accuracy of accounts created.
• Follow up on payments, 2-3 weeks after submission, or when remittance advice is received.
• Liaise with medical aids and/or patients telephonically and via email to verify, amend and/or correct rejected or incorrect accounts.
• Evaluate and monitor outstanding payments and follow up.
• Draft and submit motivations for procedures and related codes as per instruction from the responsible doctor.
• Report on accounts submitted and outstanding debts.

Administration 20%

• Log all activities using relevant processes and systems accurately and completely.
• Respond to queries from patients and doctors, and provide timeous feedback.
• Assist doctors with documentation and communication with medical aids and other statutory bodies, such as may be required during registration processes.
• Ensure all statutory and regulatory documentation is kept up to date and submit renewal reminders timeously.
• Identify opportunities to enhance effectiveness of the company services provided to clients

AD Hoc 10%

• Perform any other duties as requested from time to time.

Salary offered

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