Finance Administrator (AP/AR)

Cape Town, South Africa Posted on 18/02/2026

We are seeking a detail-oriented and proactive Finance Administrator with medical billing experience on behalf of our client to manage the end-to-end invoicing and claims process. This role is critical in ensuring that medical services are accurately authorized, billed correctly, and collections are followed up efficiently, supporting strong cash flow and compliance within a healthcare environment.

The ideal candidate isn't just a "data entry" clerk; you are a financial advocate who understands the complexities of medical aid schemes and international donor billing. You are comfortable navigating Xero and possess the tenacity to challenge payment delays and rejections directly with stakeholders.

• Billing & Project Management: Execute all financial editing and invoicing within Xero, including the meticulous setup of "Patient Projects."
• Data Integrity: Act as a gatekeeper for financial documentation by ensuring all staff correspondence contains accurate billing details before processing.
• End-to-End Invoicing: Create and dispatch invoices for both local and international donors, ensuring strict adherence to specific fee schedules and turnaround times.
• Authorization & Liaison: Coordinate with transplant centers to secure necessary authorizations. Facilitate high-level correspondence between Medical Aids and international registries once approval is granted.
• Proactive Claims Management: Conduct daily, weekly, and monthly telephonic follow-ups. You will be responsible for investigating rejections, confirming payment dates, and requesting remittances.
• Query Resolution: Resolve invoice discrepancies within specified timeframes. This includes liaising with consultants to rectify claim issues and following up until the payment is received.
• Payment Allocation: Ensure all incoming funds are accurately allocated against the correct projects and invoices.

• Proven background in medical billing or medical administration, specifically dealing with Medical Aid schemes.
• Location: On-site, Observatory, Cape Town.
• Hands on experience with Xero is essential.
• Certificate or Diploma in Bookkeeping, Accounting or Finance.
• High level of professional assertiveness. Comfortable questioning delays and pushing back on rejections from medical funders.
• Ability to manage complex fee schedules for international donors where accuracy is non negotiable.
• A disciplined approach to following up on "work in progress" claims until they are finalized.