Work Experience :

 

GENERAL ASSISTANT  @ Medforum Emergency Centre

STARTED    :         28-01-2018

LEFT            :         31-05-2018

                                                                                                                  

COMPANY                              : INCONTROL HEALTH SOLUTIONS (MHR)

JOB STATUS                           : TEMPORARY

REASON FOR LEAVING        : Professional Growth Opportunity

​

DUTIES & RESPONSIBILITIES:

 

• Banking

• Capturing Patients

• Record Payments made

• WCA accounts are dealt with

• Capturing Triage not seen in ER

• Working on GoodX – Billing

• Dealing with enquiries from patients regarding doctor’s accounts

• Assisting doctors with admin

• Answering phone calls in ER reception

• Dealing with RAF’s (Road Accidental Fund)

​

ACCOUNT ADMINISTRATOR @ SIMS (SPECIALIST INTEGRATED MANAGEMENT SERVICES)

 

STARTED                           : 01-06-2018

LEFT                                   : 07-07-2022

REASON FOR LEAVING   :  Professional Growth Opportunity

____________________________________________________________________________

COMPANY         :         SIMS (SPECIALIST INTEGRATED MANAGEMENT SERVICES)

​

1 – Creating Debtor’s files and billing

- Loading the patient information received ,doing member

validations, and should the details be incomplete ,contacting the patients/ hospitals/

practices/ referring doctors to get the correct info.

- Loading of billing received according to medical industry standards within 48 hours of

receiving it.

- Making sure that all the claims reached the applicable medical aid/ insurance

companies or contacting patients for payment.

- Taking responsibility for all stale claims.

​

2 – Switch rejections

- Credit control on all claim responses (switch rejections) (current claims)

- Should there be switch errors –reporting it to the applicable software houses and

make sure that claims reach the schemes in time.

- Contacting all patients for payments on patient liable switch rejections.

​

3 – ERA’s

- Allocating of ERA’s daily and follow up on all rejected claims immediately.

- Contacting patients for payment or medical aids to get accounts reprocessed where needed.

​

4 – Payments mailbox

- Allocating all payments including bank statements and actioning all rejections

accordingly.

​

5 – Credit control age analysis

- Age analysis imported once a month – after month end and actioning all accounts accordingly.

- Actioning of all accounts on client’s age analysis and preparing for hand over/ write off after discussed with the practice.

(Credit Control Department opened on September 2019)

(Current position @ Billing Department – All other duties still applicable except Credit Control and month end procedures)

​

6 – Month end procedures

- Assisting in month end procedures – Preparing all required month end reports and

report any issues to the management team.

- Checking that clients work gets submitted to SIMS in time and that all the work is

loaded on system before closing off.

- Arranging monthly meetings with clients to discuss hand overs and other queries.

​

9 – Year end procedures

- Assisting in the updating of rates and tariffs. Making sure that the rates applied

to practices pulls through correctly on the system and informing management should

there be any problems.

​

Account Administrator: 01/06/2018 – 07/07/2022

- Full administrator for 3 physio practices & 1 audiologist (01/06/2018 – 31/08/2018)

- Full administrator for audiologist & anesthetist & gynecologist. (01/09/2018 – 31/11/2018)

- Full administrator for audiologist & 3 physio practices (01/12/2018 – 31/07/2019)

- Full administrator with another employee for 8 practices (physios & audiologist) (01/08/2019 – 31/10/2019)

- Administrator in physio department (01/11/2019 – 31/05/2020)

- Full administrator for 3 physio practices & 1 urologist (01/06/2020 – 31/08/2020)

- Full administrator for 5 physio practices (01/09/2020 – 31/10/2021)

- Account Administrator in Payments department for 12 Physio practices

Duties include , payment allocations, linking & recons, payment rejections & credit control on age analysis

​

​

CREDIT CONTROLLER & BILLING OFFICER @ SUMMITME

(MEDICAL ACCOUNTANTS)

​

STARTED    :         18-07-2022

LEFT            :         CURRENTLY STILL EMPLOYED

____________________________________________________________________________

COMPANY         :         SUMMITME MEDICAL ACCOUNTANTS

​

- Full administrator for 3 Speech Therapy Practices

- Credit Controller for 7 Practices (Vascular Surgeon, Speech Therapists, Physiotherapist & Dietician)

- Billing Officer for Speech Therapists, laboratories, Orthopedic Surgeons, Ophthalmologists & Physicians

- Credit Controller on Age Analysis

- ERA & Switch Rejections

- Contacting patients for payment on Patient Liable Accounts

- Contacting Medical Aids / Insurance to reprocess accounts / Link to Auth