Billing Coordinator

JOB SUMMARY:
The Role:

Responsibilities:

• Understanding of medical scheme rules and billing timelines of the medical schemes and clients.
• The billing administrator to ensure the changes received reflects on the billing to be implemented by payroll.
• Ensure the cli...
  
  

  JOB DESCRIPTION:
  

  The Role:

  Responsibilities:

  • Understanding of medical scheme rules and billing timelines of the medical schemes and clients.
  • The billing administrator to ensure the changes received reflects on the billing to be implemented by payroll.
  • Ensure the client implement membership movements in accordance with changes acknowledged.
  • Differences between the employer and the medical scheme to be verified and implemented accordingly.
  • Escalated queries from the schemes and employers to be managed.
  • Members with arrear payments to be notified accordingly.
  • Maintain and build relationships with existing and new clients.
  • Liaise with providers, clients, and members telephonically or in writing.
  • Familiar with operational, financial, quality assurance, and human resource procedures and regulations.
  • Data management and update of monthly statistics.

  Skills and Experience:

  Essential Qualifications:

  • 3 to 5 years medical aid experience â?? either in Medical Aid Administrator or with an FSP â?? with relevant training certificates.

  Preferred Qualifications:

  • 3 to 5 years medical aid experience
  • NQF Level 5 REFAIS

  Experience required:

  • Minimum 3 to 5 yearsâ?? experience in medical scheme membership administration
  • Minimum 5 yearsâ?? experience in medical scheme membership administration/billing environment
  • Proficient in advanced Excel
  • Advanced knowledge on medical scheme rules, FICA, FAIS and TCF
  • Basic accounting skillsFull understanding of medical aids and employee benefits, requirements, timelines, and processes

   

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