Website Melomed Private Hospitals
Our Hospitals endeavours to create a statement of confidence in the health development sector. Being the largest wholly owned Private Hospital Group in the private health care industry in the Western Cape, the company prides itself to provide World Class medical facilities, which are accessible t… read moreo the local communities in Cape Town and Richards Bay. Our patients' health and recovery are our utmost priority and we ensure our medical team provide the best patient outcomes. OurMission Melomed Private Hospitals mission is to create environments which enable the highest level of quality private healthcare and to maximise investment potential in partnership with strategic service providers and patient-focused employees. Unit 6 & 8, Melomed Office Park, 0A Punters Way, Kenilworth, Cape Town, 7708
Description
Manage the oncology debtors’ book to ensure effective financial control and revenue recovery.
Maintain the Age Analysis in line with collection targets and follow up on outstanding accounts.
Submit, monitor, and follow up on medical aid claims within regulated timeframes.
Investigate and resolve claim rejections, short payments, and discrepancies.
Reconcile medical aid remittances and ensure accounts are accurately updated.
Monitor stale claims and escalate or resolve prior to write-off approvals.
Process refund requisitions and ensure supporting documentation is accurate and complete.
Provide operational guidance to oncology ward clerks and billing staff to support compliance with credit control processes.
Provide hands-on operational support during peak periods to ensure deadlines and collection targets are achieved.
Conduct spot-checks and audits to ensure account accuracy and adherence to billing requirements.
Prepare and maintain accurate reporting of collection activities, administrative records and reports.
Build and maintain professional relationships with medical aids, patients, and internal stakeholders.
Ensure strict adherence to company policies, procedures, and confidentiality requirements.
Requirements
Grade 12
A tertiary qualification will be advantageous
Minimum of five years’ experience as an Oncology Administrator, with supervisory or team leadership exposure
Proven ability to guide, develop, and motivate team members
Sound knowledge and experience relating to debtors’ administration and credit control in the private healthcare environment
Understanding of Prescribed Minimum Benefits (PMB) process, ICD-10, CPT codes, and hospital billing rules
In-depth knowledge of the NHN Billings Guidelines, SAOC and ICON
Strong interpersonal, influencing, communication and problem-solving skills
Excellent attention to detail and accuracy
Excellent computer skills
Ability to work effectively within a team
Ability to work in a pressurised environment
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Apply via company website ( https://www.melomed.co.za ) or