TRAFFIC Gauteng

Team Leader: Billing

Private Health Administrators (Pty) Ltd
South African Rand . ZAR 200,000 - 300,000

Job Description

Position Purpose:To manage team of Billing Specialists focusing on improving premiums collections and reducing bad debt by ensuring efficient processes.

Experience: 2 to 3 years' experience as a Billing specialist or Credit control team leader within the medical aid administrator or Insurance.

Qualifications: Grade 12

Tertiary qualification in Accounting, Finance or related field.

KEY PERFORMANCE AREAS
  • Manage performance of the billing team and offer coaching on a month-to-month basis. Create a team of high performers by managing their key performance indicators
  • Sign off refunds to members and groups and make sure credit control policy is adhered to. Manage the arrears percentages through management of age analysis daily and ensure compliance.

Reporting:

  • Monitor team performance in line with key performance matrix, generate reports and contribute to overall financial controls.
  • Address any discrepancies or issues that arise during reconciliation through report tracker.

Processes:

  • Manage billing for medical memberships, including generating statements, processing payments, and handling all discrepancies.
  • Track membership status and update records accordingly.

Record Keeping:

  • Maintain accurate records of all financial transactions, including movements, payments allocation, refunds and correspondence with groups.
  • Ensure records are organized and accessible for audits and reference.

Customer Service:

  • Address and resolve inquiries from groups, brokers and members related to billing and payments.
  • Provide support and clarification on billing issues, payment statuses, and membership details.

Compliance and Reporting:

  • Ensure that all billing and payment activities comply with relevant regulations and organizational policies.
  • Prepare reports on accounts payable activities, membership billing, and payment statuses for management.

Coordination:

  • Work closely with other departments (e.g., finance, administration) to ensure accurate and efficient handling of financial transactions and membership management.
  • Coordinate with administrator and brokers to resolve billing issues and disputes.
KEY COMPETENCIES

Skills and Abilities

Understanding of financial principles and practices related to accounts payable and billing.

  • Experience with Billing systems, and familiarity with medical billing scheduling and processes.
  • Ability to manage multiple tasks, prioritize workloads, and maintain organized records
  • Capability to resolve discrepancies, address billing issues, and find solutions to financial challenges.
  • Strong verbal and written communication skills for interacting with groups, members, and internal teams.
  • Focused on providing excellent service to members and resolving their billing-related concerns effectively.
  • Awareness of relevant regulations and standards governing medical billing and accounts payable. Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint).

Note: Company reserves the right to close the advert before specified closing date.

PHA has its head office in Westville, KwaZulu-Natal. It operates country-wide with a nationally linked network and uses a robust, flexible, as well as integrated system to ensure efficient and effective administration of membership and benefits.

This page incorporates data from O_NET OnLine, courtesy of the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), under the CC BY 4.0 license. O_NET is a registered trademark of USDOL/ETA. Assessify has adapted and modified the original content. Please note that USDOL/ETA has neither reviewed nor endorsed these changes.