Claims Specialist Credit Controller

Complement Recruitment are recruiting for Claims Specialist Credit Controller (Billing Specialist) from within the Medical and or Healthcare industry for a 6 Month Project Contract to provide an accurate and reliable full credit control and claims function, based in Sandton, Johannesburg, Gauteng. Applicants who have worked in a hospital, medical practice or from within the corporate healthcare medical sector will be considered as first option. The split portfolio is 8% claims specialist and 20% credit control function as detailed below. This is a Contract position; applicants must be able to start on .The credit controller will analyse and control all aspects of debtor’s credit, administrative policies and practices. To implement and uphold actions in line with company strategic objectives, to maximize efficiency of all documentation regarding debtors. The claims aspect of this project is the responsibility for the submission of complete and accurate claims to a wide range of medical aids, following up on the EDI rejection report, maintaining correct Masterdata on the billing system and liaising with respective Medical Aids on claim queries. Salary: R16-18K CTC Per MonthMinimum Requirements:Education:Essential QualificationsGrade 12; Credit Management/Financial Management Diploma or Degree (3-Year)Excellent organizational, coordination and communication skillsMedical industry experience non-negotiable10-12 years experience in a finance teamMinimum 3-5 years credit controller/accounts receivable experience in a corporate environmentKnowledge of JD Edwards ERP system an advantage.Own Transportation (to and from Sandton areas)Credit Vetting experienceMajor Areas of Accountability (not limited to)Follow up on overdue invoices, collections and allocating paymentsKnowledge on ICD 10 Codes, EDI submissions and interpreting authorization letters to execute billing correctly.EDI billing for all orders processed during the respective day.Ensuring that all rejections are followed up and cleared within 24 hours.Liaising with Medical Aid on claim queries.Maintaining Masterdata on Billing System.Working closely with Accounts Receivable department on Co-Payment feedback received from Medical Aid.Performing reconciliations, collection, and reporting activities according to specific deadlines from medical aid.Monitor customer account details for non-payments, delayed payments on a timely basisResearch and resolve payment discrepancies.Maintain accounts receivable customer files and records.Follow established procedures for processing receipts, cash and eft.Investigate and resolve customer queries daily as well as with medical aids.Communicate with consumers via phone, email, mail or personallyAssist with month-end closing reportingDaily cash sales reconciliationsLiaise with the bank when required to obtain details on unknown paymentsEnsure that there are no unallocated payments at month endPlace consumers on-hold where applicable (company policy)Prov