Administration Clerk: Finance/Admin

Salary: R237 453 per annum

Centre: Head Office, Cape Town (based at Stikland, E Block Naomi Huis, Revenue Administration office, within the province)

Minimum educational qualification: Senior Certificate (or equivalent) with Mathematics and/or Accounting as a passed subject and/or Senior Certificate
(or equivalent) with experience/competencies that focuses on the Key Performance Areas (KPA’s) of the post.
Experience: Appropriate experience in a Hospital patient fees or a health related claims environment.
Appropriate experience with medical aid/scheme claims.
Appropriate working experience in a HIS (Health Information system)/Accounts Receivable System.
Inherent requirements of the job: A valid (Code B/EB) drivers’ licence (persons with a valid Learner’s Licence may also apply).
Willingness to travel and spend long periods away from the office.
Competencies (knowledge/skills): Knowledge of In-Hospital Patient fees or in a health-related claims environment, medical
aid/scheme claims, HIS (Health Information system)/Accounts Receivable System.
Knowledge of the Hospital Fees policies and procedures.
Knowledge of UPFS tariff structures.
Ability to perform Medical Aid/EDI (Electronic Data Interchange) related transactions in the billing systems.
Ability to perform billing related transactions for State Departments i.e. RAF (Road Accident Fund), SANDF
(South African National Defence Force), SAPS (South African Police Services), DCS (Department of Correctional Services) and COID
(Compensation for Occupational Injury on Duty).
Computer literacy in Microsoft Office applications (Word, and Excel).

Assist various facilities with billing of account backlogs, raising and releasing of invoices and debiting of charge entries to invoices as per UPFS (Uniformed
Patient Fee Schedule) billing procedures.
Assist facilities fees departments with relevant reports for follow up of outstanding patient accounts and invoices.
Assist with submissions of EDI (Electronic Data Interchange) claims, rejections and resubmissions.
Liaise with debtors, Medical Aids, and other relevant stakeholders regarding queries; stale claims and outstanding balances.
Ensure submission of invoices to State Departments and assist hospitals to clear backlogs in terms of outstanding invoices.
Assist with the clean-up of outstanding medical aid balances through the provision of support i.e investigation and follow-up, or escalation, of outstanding accounts.
Assist with the clean-up of outstanding medical aid balances by providing the relevant reports i.e distribute reports (BD006) to hospitals, or similar reports to medical
schemes.

Ms L Ismail Tel No: (069) 245-5927

Applications are submitted online via http://www.westerncape.gov.za/health-jobs
(click “online applications”).