Credit Controller

SUMMARY:
Bedfordview - An exciting opportunity is available for a Credit Controller who enjoys resolving complex medical aid queries and improving cash flow, to join a specialist provider of medical billing and practice management solutions.

POSITION INFO:
The Credit Controller will be responsible for managing the full debtors’ function within the medical industry, ensuring efficient collections, accurate account reconciliation, and the timely resolution of account queries.

Key Responsibilities: 

• Follow up on outstanding claims and payments to ensure overdue accounts are addressed.
• Validate patient account charges, reconcile invoices, and resolve discrepancies.
• Perform detailed aged debt analysis and maintain comprehensive notes on all accounts.
• Manage and resolve patient account queries, disputes, and PMB escalations.
• Liaise directly with medical aid schemes and patients regarding payment disputes.
• Maintain accurate records of doctor-specific DSP arrangements and requirements.
• Submit electronic and paper claims and maintain rigorous submission records.
• Prepare detailed reports on collection performance, write-offs, and recovery trends.
• Collaborate with the billing team to support claim resubmissions, appeals, and adjustments.
• Identify high-risk accounts and recommend appropriate legal action or settlements.

• Matric (Grade 12) certificate (essential).
• Minimum of 3 years’ experience as a Credit Controller specifically within the medical industry (essential).
• Proficiency in Microsoft Office and medical billing software (e.g., Elixir Live, MedEDI, iHealth, Vericlaim, or GoodX).
• Strong understanding of medical billing processes, reimbursement methods, and ICD coding.
• Knowledge of SAMA billing guidelines and medical aid scheme rules (advantageous).
• Experience with WCA and eCOIDA processes (highly advantageous).
• Experience with paper claim submissions.

• Exceptional communication and negotiation skills.
• Highly organized with a methodical approach to reconciliation.
• Ability to build strong professional relationships with doctors and medical schemes.
• Resilient and persistent in resolving complex account disputes.
• Strong analytical skills for identifying debt trends and risks.