Billing Analyst (Healthcare Services)

SUMMARY:
As a Billing Analyst, you will play a crucial role in overseeing the billing process for healthcare services, with a particular emphasis on specialist healthcare providers. Your primary responsibility will be to ensure the precision and efficiency of billing within the
claims administration team.

POSITION INFO:
As a Billing Analyst, the following will be required from you:

• Define and execute billing and coding procedures for the claims administration department.
• Align with the overarching business strategy.
• Ensure accuracy, efficiency, and adherence to ethical and legal standards.
• Identify opportunities for improvement in coding and billing practices.
• Collaborate with line managers and supervisors to guide accurate coding of healthcare claims.

• Foster collaboration with line managers, supervisors, and claims administrators.
• Champion coding and billing enhancements to maximize revenue.
• Proactively lead continuous improvement initiatives.
• Maintain high standards in billing efficiency and accuracy.
• Analyze claims for errors and optimization opportunities.
• Interpret scheme benefit rules for billing optimization.
• Resolve denied or rejected claims.
• Stay updated on healthcare changes.
• Communicate effectively with stakeholders.
• Research medical aid plans and eligibility.
• Streamline billing processes and improve efficiency.
• Collaborate with the Tech team.

• Minimum 3 years in medical administrative billing (B2B context, healthcare sector).
• Extensive coding experience (minimum 5 years) with industry standards knowledge.

• Skilled in testing and integrating software solutions.
• In-depth understanding of medical claims industry and coding systems.
• Expertise in ICD-10 coding, SAMA, and CMS rules.
• Proficient in medical terminology and human anatomy.
• Focus on accurate and efficient billing processes.
• Excellent communication skills.
• Enthusiasm for staying updated with industry trends.

NB! This job is now closed. You can apply for other jobs by uploading your CV.