The Debtors Controller will be responsible for ensuring all billing activities (issuing of billing statements, premium recons and allocation of payments across group schemes) are performed accurately and efficiently, meeting all deadlines and quality standards. The Debtors Controller must ensure adherence to internal processes, service level agreements, compliance standards in line with FAIS and POPIA.

KEY WORK OUTPUT
Debtors Control and billing’s function

• Manage and attend to Debtors books.
• Completion of recons for all employer groups in your portfolio within agreed timelines.
• Issuing of monthly billing statements to employer groups by the agreed deadlines.
• Liaise with HR and finance personnel from our employer groups so that the monthly billing cycle is completed timeously.
• To liaise closely with the membership team so that any changes to an employer’s membership base are made without delay and within xthe NetcarePlus membership guidelines.
• Ensure accurate billing.
• Manage and attend to all switch application rejections and re-submit when necessary.
• Prepare and submit journals for authorisation. Ensure timeous processing of authorised journals.
• Consult with patients referred by pay point regarding outstanding balances and arrange payment agreements.
• Identify long outstanding accounts and contact patient to arrange for settlement.
• General management and administration pertaining to outstanding debt as per the Standard Operating Procedure.
• Identify possible high-risk accounts to be handed over.
• Identify possible bad debt accounts and obtain the necessary approval for processing.
• Ensure debtor days are in line with company targets.
• Daily monitoring of collections and diarise each case.
• Manage and attend to all rejections on remittance advices from third parties.
• Handle queries relating to accounts outstanding.
• Ensure formal payment arrangements are in place.
• Reconciliation of Remittance advice.
• Follow up on payment arrangements.
• Follow up on signed Practitioner Risk Forms for payment and ensure necessary actions are taken.
• Daily resolving collection items on your work list.

Compliance Management

• Compliance to Company policies and procedures.
• Adherence to the CSA (Controlled self-assessment) audit standards.
• Manage compliance to repeat audit findings.
• Compliance with FAIS and POPIA laws when handling sensitive.

Stakeholder Relations

• Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
• Develop collaborative relationships to help accomplish work goals.
• Participate in monthly meetings to discuss issues and give feedback.

Inherent Requirement

• Relevant qualification at an NQF level 5.

Work Experience

• At least 3 years previous experience within the billings team at a financial services company working on group schemes.
• Working knowledge of Excel and Outlook.
• Knowledge of medical aids / health insurance products.
• Sound knowledge of group scheme billing processes.
• Advanced Computer Literacy.
• Experience in using the MIP policy administration system for billing.

Join the team committed to providing the best and safest health and care.

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