Melomed Private Hospitals logo

Oncology Administrator

Melomed Private Hospitals

South AfricaPosted Posted 9 days ago
excel

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Job description

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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