Xpedient Medical is a specialized business management consultancy focused on the medical industry.

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General Details
Advertised By:Private
Job Type:Full-Time


Role specifications

· Coding assessment

· Communication with patients / clients / schemes

· Ensure all account receipting is up to date and accurate

· Ensuring that the correct codes are used for billing and reporting any issues that may arise

· Ensuring that the medical aids have received all claims and payments are processed within the expected time frame

· Investigation of any short payments, rejections and establishing whether the account should be referred for reprocessing/PMB policy

· Following each specific DR’s billing rules and ensuring accounts are managed correctly

· Management of the entire PMB process and adhering to the PMB policy

· Ensure maximum profitability for assigned practices by following company policies and procedures

· Reporting/communicating any issues in the day to day procedures to assigned SAM

· Contribute to daily KPI / operational requirements

· Account management / receipting

Qualifying criteria

· Attention to detail

· Communication skills - written & verbal

· Professionalism

· Empathy

· Customer service oriented

· MS Office proficiency - intermediate

· Time management

· Basic math / accounting principles

· ICD10 coding certificate

· Working knowledge of SAMA / billing codes & rules

· Working knowledge of medical schemes

· Basic billing knowledge (ICU / coding / modifiers)

· Understanding of prescribed minimum benefits (PMB) process

· Understanding of ICD-10, RPL and Specialist billing rules

· Knowledge of treatment plans / disease management

· Nursing / paramedic experience

· Medical terminology / anatomy course qualification

· Understanding of human anatomy & procedures performed

· MS Office proficiency - intermediate to advanced

All interested parties that possess the qualifying criteria please e-mail your to careers@xpedient.co.za Kindly use REF X-tyg1101.

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Xpedient Medical Business SolutionsMember since 2016
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