Office Admin

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  • Full Time
  • Permanent
  • Windhoek

Elite

Elite

About the job Administration Back Office

DESCRIPTION:

The role of this position is to submit accurate claims to the relevant parties timeously and to ensure the practice is paid by the various parties (medical aid and patients) in time.

KEY PERFORMANCE AREAS:

Principal accountabilities as per medical aid allocated
Processing of medical aid claims
Update the Direct Deposit List

  • Write Medical Aid receipts
  • Post and allocate remittances on Eminance

Claim submission

  • Receive accounts from accounts department
  • Sort according to medical aids
  • Capture on respective excel sheets for each medical aid
  • Balance excel sheets for each medical aid
  • Balance excel sheet with EDI report
  • Deliver claims to respective medical aids for payment

Print accounts for resubmissions

  • Work through age analysis to determine which accounts are to be resubmitted

All accounts on 60 days + not paid in full

  • Resubmission accounts printed and captured on excel sheets for respective medical aids
  • Resubmission to be delivered to medical aid for correction
  • Phone patients with outstanding patient portion
  • Checking of theatre invoice / billing

Pharmacy

  • Opening of pharmacy
  • Dispensing of medication to patients as required during the day
  • Mixing of medication – when needed
  • Assisting with ordering of medication

Monthly

  • Arrange and attend to meeting with respective medical aids regarding outstanding claims

Month End

  • Make sure that all payments on DDL is allocated and posted
  • Ensure all remittances are in a balancing position
  • Ensure all accounts invoiced during the month have been submitted to the medical aids for payment

Assist at accounts
Assist at reception

REQUIREMENTS:

  • General computer literacy

QUALIFICATIONS:

  • Grade 12
  • Excel / Word

EXPERIENCE:

  • 8 years in a medical administration environment

ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED.

To apply for this job please visit www.careers-page.com.

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