Credit Control, Billing

An established healthcare facility in the Upper Highway area is seeking a detail-oriented Credit Control, Billing & Claims Administrator (Hospital). The successful candidate will manage accurate patient billing, medical scheme claims, and effective debtors control within a structured healthcare environment.
Key Responsibilities

• Capture and verify patient billing information, including ICD-10 codes, tariff codes, and medical aid details
• Submit, track, and follow up on medical scheme and third-party claims
• Investigate and resubmit rejected or short-paid claims
• Manage pre-authorisations, benefit limits, and length-of-stay extensions
• Monitor and manage debtors age analysis (medical aids, patients, third-party payers)
• Follow up on outstanding accounts and manage co-payments and member liability balances
• Reconcile remittance advices and identify underpayments or discrepancies
• Maintain accurate billing, payment, and adju...