Job Description

We're looking forxe2x80xa6Are you an experienced Medical Billing & Collections Administrator looking for a role where your attention to detail and organizational skills make a real impact? Join our clients healthcare team and play a vital role in ensuring the smooth processing of patient claims and payments. If you have a strong background in medical funder interactions, claims processing, and collections, we'd love to hear from you!Who are you?

• You have strong attention to detail and accuracy in data entry.
• You have excellent communication skills to liaise with funders, patients, and internal teams.
• You have excellent attention to detail and organizational skills.
• You have strong organizational and reporting skills.

What's the role?You will be responsible for:Medical Billing & Claims Processing:

• Review and process weekly hospital stats for billing accuracy.
• Capture patient details and treatment codes into the system.
• Submit and track claims via the in-house system.
• Investigate and resolve claim rejectionsxe2x80x94resubmit where necessary.
• Follow up on remittance advices and liaise with funders on rejected claims.
• Ensure all necessary information is included for claim approvals.

Collections & Payments:

• Generate and analyse age analysis reports weekly.
• Maintain a summary spreadsheet to track outstanding accounts.
• Follow up with funders, government institutions, or patients regarding outstanding payments.
• Request and verify Proof of Payment (POP) from payers.
• Reconcile received payments with system records and update accordingly.
• Provide weekly reports on collections, expected payments, and outstanding debts.
• Maintain proactive communication with funders to keep accounts up to date.

Boxes to tickxe2x80xa6

• Matric
• 2+ years experience in the relevant field
• Experience in medical billing, claims processing, or collections.
• Familiarity with Solumed or similar medical billing software.
• Ability to handle funding queries and resolve claim disputes.

HR Studio