Medical Biller/ receptionistMedical Biller/ receptionist

Key Achievements:

Submit and manage Prior authorization requests with medical aids Investigate and resolve denied or rejected claims Communicate with medical aids regarding authorization and claim status updates Prepare and submit appeals with supporting documentations where required Answer incoming calls in a professional, warm and respectful manner Identify patients needs, clarify information and provide accurate and timely solutions Verify medical aid eligibility Review and process medical claims accurately and efficiently Submit electronic and paper claims Monitor claim status and resolve claim rejections and denials Perform accounts receivable follow-up on unpaid and underpaid claims Reconcile payments, adjustments and write-offs Respond to patient billing inquiries professionally Maintain compliance with healthcare regulations and payer requirements Generate billing, collections and revenue cycle reports as required

Key Achievements:

Greet patients and conduct check in process Billing to medical aid as well as private patients Booking appointments Doing follow ups on patients and medical aid for unpaid claims Doing OCT scams Visual fields

Key Achievements:

Capturing patients information on the system Reconciling bank books and remittances from medical aid Follow Ups Answering phones and transferring to relevant department Submit electronic claims and paper claims General Admin work