ADMINISTRATION CLERK: FINANCE/ADMIN (X2 POSTS)

SALARY : R202 233 per annum
CENTRE : Head Office, Cape Town

REQUIREMENTS : Minimum academic qualification: Senior Certificate (or equivalent) with Mathematics and/or Accounting as a exceeded problem and/or Senior Certificate (or equivalent) with experience/competencies that focuses on the Key Performance Areas (KPA’s) of the post. Experience: Appropriate trip in a Hospital affected person expenses or a health-related claims environment. Appropriate trip with clinical aid/scheme claims will be an advantage. Appropriate working trip in a HIS (Health Information system)/Accounts Receivable System. Inherent necessities of the job: A legitimate (Code B/EB) driver’s licence (persons with a legitimate Learner’s Licence may additionally additionally apply). Willingness to tour and spend lengthy intervals away from the office. Competencies (knowledge/skills): Knowledge of In-Hospital Patient expenses or in a health-related claims environment, clinical aid/scheme claims, HIS (Health Information system)/Accounts Receivable System. Knowledge of the Hospital Fees insurance policies and procedures. Knowledge of UPFS tariff structures. Ability to operate Medical Aid/EDI (Electronic Data Interchange) associated transactions in the billing systems. Ability to operate billing-related transactions for State Departments i.e. RAF (Road Accident Fund), SANDF (South African National Defence Force), SAPS (South African Police Services), DCS (Department of Correctional Services) and COID (Compensation for Injury on Duty). Computer literacy in Microsoft Office purposes (Word, and Excel). Knowledge of In Hospital Patient expenses or in a health-related claims environment, clinical aid/scheme claims, HIS (Health Information system)/Accounts Receivable System.

DUTIES : Assist quite a number amenities with billing of account backlogs, elevating and releasing of invoices and debiting of cost entries to invoices as per UPFS (Uniformed Patient Fee Schedule) billing procedures. Assist services expenses departments with applicable reviews for follow-up of gorgeous affected person debts and invoices. Assist with submissions of EDI (Electronic Data Interchange) claims, rejections and resubmissions. Liaise with debtors, Medical Aids, and different applicable stakeholders concerning queries, stale claims and splendid balances. Ensure submission of invoices to State Departments and aid hospitals to clear backlogs in phrases of first-rate invoices. Assist with the clean-up of brilliant scientific useful resource balances via the provision of aid i.e investigation and follow-up, or escalation, of exquisite accounts. Assist with the clean-up of amazing scientific resource balances through supplying the applicable reviews i.e distribute reviews (BD006) to hospitals, or comparable reviews to medical schemes.

ENQUIRIES : Ms L Ismail at 072 6016586