Admin Controller - Medicross Rustenburg - Rustenburg
(2018-01)
Main Job Functions (Admin Controller since January 2018): Preparation of daily receipt reconciliation, ensuring that all receipts processed balances with the E-live end-day-reports. Monitoring and maintaining acceptable and accurate administration of the allocated business units. Liaising between departments and staff members.
Updating daily RIT reconciliation. Emailing RIT report to finance monthly. Follow-up on payments received in previous months and getting the necessary remittances/proof of payments by using the RIT recon.
Printing of bank statements and remittance advices from medical aids, receipting of payments received and processing it on E-live. Compiling all necessary forms after processing of remittances. Transferring unpaid medical scheme balances to patient liable and insert comment.
Preparing and submitting journals when relevant for authorisation. Ensuring timely processing of authorised journals. Follow-up on pending claims not submitted to medical aid. Assisting with the general management and administration pertaining to outstanding debt.
Generating reports, interpret data and action accordingly. Notifying management of high-risk debt identified. Identifying on
- I prepare the daily receipt reconciliation, ensuring that all receipts processed balances with the E-live end-day-reports.
- I am responsible for monitoring and maintaining acceptable and accurate administration of the allocated business units.
- I need to take responsibility for liaising between departments and staff members.
- I update daily the RIT reconciliation.
- I e-mail the RIT report to finance monthly.
- I follow-up on payments received in previous months and getting the necessary remittances / proof of payments by using the RIT recon.
- I print of bank statements and remittance advices from medical aids, receipting of payments received and processing it on E-live. I also compile all necessary forms after processing of remittances, i.e. receipt control forms, etc.
- I transfer unpaid medical scheme balances to patient liable and insert comment.
- I prepare and submit journals, when relevant, for authorisation.
- I ensure timely processing of authorised journals.
- I follow-up on pending claims not submitted to medical aid.
- I assist with the general management and administration pertaining to outstanding debt.
- I generate reports, interpret data and action accordingly.
- I notify management of high-risk debt identified.
- I identify on possible high-risk accounts to be handed over.
- I ensure debtor days are in line with company targets.
- I monitor collections daily.
- I print and follow-up on unallocated payments.
- I manage and attend to all rejections on remittance advices from third parties i.e., medical schemes.
- I manage private accounts by printing a daily age analysis report. On a monthly basis identify small balance write-offs and other uncollectable / high risk debt to be written-off.
- I handle queries relating to accounts outstanding.
- I ensure formal payment arrangements are in place.
- I follow-up on payment arrangements.
- I send out monthly statements via e-mail to patients. I also send out SMSs with regards to outstanding balances.
- I comply with Company Policies and Procedures.
- I adhere to the CSA audit standards.
- I manage compliance to repeat audit findings.
- I communicate any changes relating to policies and general debt management to all stake holders.
- I comply with the transformation goals within the organisation.
- I also assist with the billing of patient accounts if the need arises. I also ensure that the ICD10 codes is correct.
- I am also appointed as SHEO and OHS representative.
- Reasons for leaving: I am seeking career advancement or broader leadership responsibilities, that will offer me new challenges and opportunities to expand skill sets. At my current employment I have limited growth or promotion opportunities in my current role. I also have the desire to work in a more strategic or decision-making capacity. I also want exposure in a different industry or organizational structure. I am also looking to pursue opportunities that offer stronger financial growth and su
Receptionist and Credit Controller - Dr JJ Netthlng
(2011-06 - 2014-11)
- Answering of the telephones in a professional manner, communicating with patients and scheduling their appointments.
- Billing of patient accounts for submission to the medical aids. Accuracy is key when capturing these accounts.
- I do the diagnostic (ICD10) and CPT coding of patient accounts.
- Posting of payment advices received from medical aids against patient accounts, ensuring accuracy.
- Posting of receipt books for cash payments received from patients on their accounts.
- Follow-up on short paid or unpaid accounts with the different medical aids.
- I contacted patients on a serious basis regarding any unpaid accounts, ensuring that they understand to why the account was not paid by their respective medical aid and then confirming a possible payment date with the patient.
- I had to send out account statements / reminders on a weekly and monthly basis informing patients on outstanding monies.
- Do follow-up work using the debtors' age analysis to contact patients regarding outstanding accounts.
- Assisting patients with enquiries regarding accounts.
- Cashing up and compiling of the daily bank deposits.
- Balancing of the petty cash.
- Other duties: general office administration i.e. typing of various documents; filing, etc.
- Reasons for leaving: Dr Netthlng decided to retire as General Practitioner, and I was then recruited and employed by Medicross Rustenburg where I am currently still employed.
Case Manager and File Assessor - Netcare Ferncrest Hospital
(2008-04 - 2011-05)
I've really valued my time in the hospital environment—it's fast-paced and has strengthened my ability to manage complex situations and work with multidisciplinary teams. That said, I was looking for a setting where I can be more involved in continuity of care and day-to-day operations. A private GP practice offered the opportunity to build longer-term patient relationships, work more closely with a smaller team, and contribute at a more consistent and proactive way.
That aligned better with my long-term professional goals.
- Application of clinical knowledge in the risk management of patients in terms of length of stay; level of care and medical aid benefits available.
- Provide appropriate clinical information to medical aids.
- Code all patients with ICD10 and CPT4 codes.
- Accompany Managed Care Organisation Case Managers on ward rounds.
- Assist with final authorisation of patient files.
- Control cost of patients.
- Consult with all service suppliers regarding treatment for patients.
- Facilitate with transfer of patients to Rehab or Step Down Facilities.
- Update all relevant details on Addin info.
- Supply all details regarding patient's history, etc. to clinical partners.
- Assist with case management of all medical aid patients.
- Daily liaison and communication with medical aids; hospital nursing staff and medical practitioners.
- Assessment of patient files to ensure that all surgical, ethical, gasses and equipment are recorded on account as per actual case.
- Assessing of accommodation (LOS).
- Final authorisation of accounts.
- Application of clinical knowledge in effective ICD10 and CPT4 coding of patient accounts.
- Knowledge and application of ARS contracts.
- Manage associated administrative tasks.
- Ability to implement and stay abreast of changes effectively.
- Any other duties assigned by the billings manager from time to time.
Credit Controller - Life Peglerae Hospital
(2006-03 - 2008-04)
In my credit controller role, I developed a solid understanding of hospital billing, funding models, and compliance requirements. Over time, I realized I wanted to be more involved in the clinical–administrative side of healthcare, particularly in case management and file assessment, where financial accuracy directly supports patient care and outcomes. The case manager and file assessor role allowed me to apply my financial knowledge more holistically, collaborate more closely with clinical teams, and contribute earlier to the patient journey rather than only at the collections stage.
It was a more meaningful and aligned progression for my long-term career goals.
- Adhere to the credit processes, according to Life's credit policy.
- Adhere to credit guidelines with regards to all types of transactions.
- Maintain the credit log book with all documents and work received.
- Process all new accounts.
- Ensure that new accounts are credit worthy.
- Ensure all credit applications have been authorised by the Credit Control Supervisor.
- Send confirmation letters to patients.
- Ensure that all new and existing customer accounts are paid as per Group Policy.
- Assist in the settling up of the credit control system for the Hospital.
- Ensure that debts are paid in a timely manner by patients.
- Maintain accurate records of all account matters.
- Identify changes in payment patterns and propose action to achieve indebtedness.
- Ensure that all transactions are compliant with credit regulations.
- Handle disputed bills and negotiate to bring payment within the agreed terms.
- Provide accurate advice on billing queries.
- Respond promptly and completely to both client and internal enquiries.
- Providing ad-hoc reporting as and when requested.
- Post payments to accounts and allocate as required.
Receptionist - Life Peglerae Hospital
(2004-03 - 2006-03)
I started as a receptionist, which gave me a solid foundation in patient interaction, scheduling, and front-office operations. Through this role, I developed a strong understanding of hospital workflows and billing processes, and I consistently showed interest in the financial and administrative side of the organization. When the opportunity arose to move into a credit controller position, it was a natural progression and promotion, allowing me to apply my administrative experience while developing specialized financial and compliance skills.
- Responsible for accurately recording admission, discharge update and receptionist duties in accordance with Life Healthcare protocols.
- Liaise with medical aids to obtain authorisation for admissions.
- Performing general administration duties involved in the admission of patients including filing and assistance with billing of accounts.
- Receiving and handling of cash.
- Day end processes.
- Doctor, public and staff liaison.
- Switchboard relief duties.
- Resolving telephonic queries.
- High standard of completion of documentation and the accurate capturing of data.
Administrative Officer - The Best PC Technologies
(2002-08 - 2003-12)
There were consistency in management and payroll issues, and I was seeking a more stable and well-managed environment. I value accountability and reliability, and unfortunately those were ongoing challenges in my previous role. Salary payments were frequently delayed, which made the role unsustainable long-term.
- Answering of telephones and other receptionist duties.
- General sales of equipment.
- Compiling of quotations for customers.
- Handling of all debtors and creditors accounts (credit controlling).
- General typing of documentation and letters.
- Compiling of all monthly income and expense reports.
Junior Auditor - Office of the Auditor-General
(2000-01 - 2002-07)
I joined the Auditor-General immediately after matriculating to gain practical work experience and develop professional skills. After one and a half years of employment at the company, I decided to move back to my hometown for personal reasons and am now established here. Relocation required me to seek employment closer to my new residence.
- Auditing of state departments.
- Planning of Audits.
- Execution of Audits.
- Administration duties, such as typing of letter and report to the Auditee, filing, etc.
