MEDICAL CREDIT CONTROLLER

Advert Ref: RMQ744

Advert Title: Medical Credit Controller

Area: La Lucia, Durban

Advert Type: Full-Time

Working Hours: 40 Hours

Time Conditions: Dayshift

Salary: R19,000 – R35,000

Closing Date: 22 October 2022


SUMMARY

This position is required to work closely with the Hospitals (Case Managers), Finance department and Funders to maximize Cash-Flow over a short period and minimize the risk of non-payments or shortfall to patient accounts.


KEY PERFORMANCE AREAS:
Submission of claims:

  • To liaise professionally with external/internal stakeholders such as patients, Medical Aid Schemes, and Hospital Staff.

  • Claims to be followed regularly.

  • Rejection to be attended to promptly.

  • Escalation to funders or facilities to be done where rejections occur.

  • Understanding Escalation process and turnaround time with funders and following the correct TIERS as per NHN rules.


Cash-flow forecast reporting (Projections):

  • Gathering information from Age analysis.

  • Bi-weekly reports.

  • Forecasting estimated (R)value amount that will be received on next payment run.

Receipting of payment (Payment Allocations):

  • Transactions captured via EFT (bank statement), Cash and Card.

  • Ensure allocation of payments are done promptly and correctly.


Age analysis (maintenance):

  • Ensuring accounts are paid within 30 days after submission.

  • Communicate with debtors and medical aid officials by telephone and/ or written correspondence to attempt to collect urgent payment of outstanding accounts. (As per funders preferred Platform)

  • Accurately record the collection status and relevant collection notes for each account.

  • Provide thorough, efficient, and accurate updates on medical aid payment processes to debtors.


QUALIFICATIONS AND REQUIREMENTS

  • Three years Credit Control experience.

  • Two years medical aid Experience in a healthcare facility.

  • Matric certificate.


SKILLS

  • Consistently demonstrates behaviors that reinforce the CORE Values of Spescare; Demonstrates these behaviors with all stakeholders; colleagues, direct reports, as well as our patients and consumers, and those that care for them.

  • Excellent customer service.

  • High level competence in documentation and report preparation

  • Attention to detail and time management skills.

  • Good communication and relation building skills.

  • Knowledge/Experience Medical aid / Scheme / Insurances policies and procedures.

  • Basic Microsoft office knowledge

  • Basic Accounting knowledge

  • Teamwork and be able to function individually.


Interested Applicants who meet the requirements may apply here on our website or use the email address of La Lucia Hospital HR Manager STELLA VAN ROOY [stellavanrooy@laluciahospital.com]. Applicants will be conducted shortly, Should you not be contacted in 14 days of your application, Please consider your application unsuccessful and thank you for your interest in our healthcare group.