The Responsibilities of this role will include but not limited to the following:
• To ensure that all services and products rendered to patients are billed accordingly.
• Properly code data entries in Health Management System (HMS).
• To prepare medical invoice bills and validate details of clients before dispatch.
• Sign off all dispatches and ensure that the right media is used to deliver the invoice.
• Follow up on feedback or acknowledgement from clients if invoices were received.
• Update the Dispatch Register on delivered invoices.
• Ensure that insurance forms are duly completed and signed off by the clinicians and the client before dispatch.
• Reconcile the invoice with the claim.
• Maintain billing records in adherence with the standards and values of Mopani Medical data protection policies.
• Guide patients through the registration process, ensuring they fill out and sign all necessary forms prior to capturing their details on the HMS.
• Maintain updated financial member records.
• Ensure medical records are safely secured.
• Maintain confidentiality in dealing with medical information.
• Write periodic reports on billing activity with clear and reliable data.
• Trail the process of billing to ensure that all claims are not rejected.
• Close out all anomalies to enhance the billing process.
• Conduct billing verification with personnel on the wards and other sections.
• Maintain best work operations in line with Standard Operation Procedures.
• Manage insurance clients by seeking preauthorization as per insurance requirement.
• Prepare and verify that claim forms are fully completed and submitted on time.
• Ensure that rejected claims are resolved, processed, and sent back.
• Maintain a safe workplace and adhere to the set health guidelines.
• Assist the Cost Accountant to Identify clients with pending huge bills and at risk of defaulting (non-payments)
• Communicate effectively to clients by providing adequate information.
• Service the client with due diligence.
To be considered for this position, the candidate should meet the following minimum requirements:
• Grade 12 Certificate.
• Diploma in Business Management/Administration/Accounting or related qualifications.
• Excellent computer skills.
• Experience with working in a hospital or clinic is an added advantage.
The successful candidate must be result oriented and have the ability to work with own initiative, ability to understand scope of work, paying particular attention to Company policies and Corporate objectives.