CREDIT CONTROLLER.

RESPONSIBILITIES:
• Main function entails “Payment Collections: i.e.
? Collecting outstanding amounts from both Medical Aids as well as from patients;
? Submission of claims to Medical Aids and patients.
• To evaluate monthly age analysis and determine priorities for taking action to collect due amounts.
• Maintain a diary system for timeous follow up with medical aids or patients regarding queries or payment plans.
• During remittance processing re-categorize patient status as required should part payment occur i.e. this account becomes private instead of medical aid.
• Interview patients regarding payment of private accounts and any other arrangements as may be appropriate to the situation. Obtain input and approval from the Credit Manager as necessary.
• Investigate and resolve all queries timeously and secure timeous and prompt payment.
• Process accounts to the outsource company for legal credit collection as required.
• Prepare monthly forecast of collections by medical aid / debtor and develop a plan to collect and exceed that amount, in liaison with Credit Manager.
• Ensure that no account is outstanding for more than 30 days should problems be encountered the Credit Manager must be advised immediately.
• Consistently achieve agreed levels of collections on a month-to-month basis.
• Avoid losses to Hospital at all times.

REQUIREMENTS:
• Standard 10 (Grade 12).
• At least five years’ experience in a Private Hospital Setting dealing and interacting with Medical Aids and Managed Health Care Companies.
• Must have worked on the Tribill system and Med-EDI system.
• Experience in medical aid debt collections.
• Knowledge of DSO (debtor days) per category
• Knowledge of Debt within the 90+ aging category
• Target driven.
• Knowledge of medical aid rejections and codes.
• Knowledge of BHF Tariff Codes and Tariff sets.
• Knowledge of RAM’S (Reimbursement Alternative Model).
• Knowledge of solutio utilization Management system (UMS).
• Knowledge of solutio Hospital Management in Hospital restricted and non-covered services.
• Computer literate in all applications of MS Office.