Credit Controller - Clinix Private Hospital (Doctors rooms)
(2006-04 - 2011-11)
- ICD 10 coding
- Tariff codes review
- Capturing new claims
- Filling bad debt
- Reconciling new accounts received
- Statements review
- Invoicing
- Payment arrangements with clients
Credit Controller - Netcare Sunward Park Hospital
(2011-12 - 2015-12)
- Reconciling
- Bad debt
- Filling/data capturing
- Ward rounds
- Tariff/ICD 10 coding
- Reports
- Inbound call and outbound calls
Medical Claims Assessor - 3sixtyhealth Group
(2017-10)
- Claims assessing
- ICD 10 code / Tariff review and investigation
- Claims follow up with both case managers as well as the pre-auth department
- Attending to urgent queries from Executive/senior management groups
- Reports done daily
- Reconciling
- Engaging with clients from different branches
- Resolving queries within 24 hours and providing feedback with the outcome
- Capturing new claims
- Assisting urgent escalations from different departments within the business
- Providing training for learners and interns
- Age analysis review and investigation
- Ensure all claims information remain confidential
- Good communication skills
- Providing feedback to clients
- Team management
- Authorization investigation
