Credit Control, Billing & Claims Administrator (Hospital)

Recruiter:

Greys Personnel

Job Ref:

DBN003425/SM

Date posted:

Friday, February 27, 2026

Location:

Durban, South Africa

SUMMARY:
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.

POSITION INFO:

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 adjustment records
Ensure compliance with medical scheme rules and patient confidentiality regulations
Liaise with case managers, clinicians, finance teams, and scheme administrators

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Minimum Requirements

Matric with Mathematics or Accounting
Diploma or degree in Finance, Accounting, or related field advantageous
2â5 yearsâ experience in medical billing, claims administration, and credit control
Must have experience in a hospital or inpatient healthcare settingÂ
Working knowledge of ICD-10 coding, medical aid authorisations, and scheme rules
Experience with medical billing systems (GoodX advantageous)
Strong attention to detail, organisational skills, and ability to meet deadlines

How to apply:

Follow the link to our job seekers â page -Â

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