Final Biller at Melomed Private Hospitals

- Melomed is synonymous with exceptional healthcare services and proud to be a Level 1 BBBEE contributor. This prestigious certification reinforces our unwavering commitment to transformation, empowerment, and inclusivity within the South African healthcare landscape. Final Biller ------------ * Job Type Full Time * Qualification Matric * Experience 3 years * Location Western Cape * City Cape Town * Job Field Finance / Accounting / Audit  , Medical / Healthcare Description * Final assessment of all patient files to ensure that all stock, service related charges are recorded on account as per actual usage and is billed according to the NHN guidelines and Melomed Policies and Procedures. * Final assessment of all patient files to ensure that all documentation is in file. * Assessment and monitoring of long stay patients for accuracy. Timeous final billing of claims to maintain the target of final billing. * Submission of WCA, COID claims to respective funders. * Timeous Escalation of cases within turnaround time where LOS, LOC and Codes are not approved to maintain the target of accurate final billing of files within 3 days. * Application of clinical knowledge in reviewing ICD and CPT coding of patient accounts. * Ensure that all claims are submitted timeously via the Medikredit Panel. * Timeous escalation of any Medikredit Rejections and maintain a high level of integrity of the Medikredit Panel. * Follow up with external service providers and stakeholders on outstanding documentation required for the accurate final billing of files to maintain the target of final billing. * Timeous resolution of queries from Credit Control emanating from final billed files to maintain targets and objectives. * Following up and resolving queries from internal and external customers and stakeholders. * Daily and weekly reports. Adherence to deadlines. * Administrative tasks. * Adhoc and administrative duties as requested by line manager. * Liaising with patients for queries. General filing. * Ability to stay abreast of industry trends and knowledge. * Keep up to date and compliance with Melomed’s Policies and Procedures. * Maintain and sustain working key internal and external relationships. Requirements Core Competencies: Education: * Grade 12 or equivalent NQF4 qualification * Proficiency in Computer Literacy * Certificate in ICD 10 and CPT Coding * A Nursing qualification will be preferred Experience: * Minimum 3 years relevant experience in a multidisciplinary hospital Knowledge & Skills: * Computer Literacy Strong Administrative Skills Knowledge of Fixed Fees, per Diems and Alternate Reimbursement Models * Knowledge of applicable statutory acts such as Consumer Protection Act; PMB; POPIA, etc. * Excellent communication skills (written and spoken) Check how your CV matches this job Method of Application ------------------------- Interested and qualified? Go to Melomed Private Hospitals on melomed.mcidirecthire.com to apply Build your CV for free. Download in different templates.