Admin Controller

Job Title

Admin Controller

Company

Medicross Healthcare Group / Netcare

About the Role

Medicross Healthcare Group is a value driven organisation with a commitment to providing patients and their families with a holistic approach to primary healthcare of the highest quality. As an Admin Controller, you will be a Brand Ambassador providing person-centred quality customer service. The role is responsible for the administration of allocated business units, managing overdue accounts, resolving queries, and minimizing financial exposure regarding credit extended.

Responsibilities

Administrative process control

• Ensure the daily update of Reconciliation with in transit (RIT) and provider as part of month end deliverables.
• Transfer unpaid scheme balances to patient liable and insert comment.
• Prepare and submit journals when relevant for authorisation.
• Ensure timeous processing of authorised journals.
• Handling patient and medical scheme enquiries in a professional and timely manner.
• Follow up on pending claims not submitted to Medical aid.

Working Capital Management

• Ongoing management and administration of outstanding debt.
• Generate reports, interpret data, and action accordingly.
• Notify management of identified high-risk debt.
• Identify accounts to be handed over.
• Ensure debtor days are in line with company targets.
• Daily monitoring of collections.
• Print and follow up on unallocated payments.
• Manage unallocated payments.
• Manage rejections on remittance advices from third parties i.e. medical schemes.
• Manage private accounts by printing a daily analysis report.
• Identify monthly balance write offs and uncollectable/high risk debt.
• Handle queries relating to outstanding accounts.
• Manage and follow up on payment arrangements.
• Ensure accurate distribution and mailing of monthly statements.

Risk Management

• Ensure compliance to Company Policies and Procedures.
• Adhere to the CSA (Control Self-Assessment) audit standards.
• Manage compliance to prevent repeat of audit findings to improve status of audits.
• Ensure patient confidentiality at all times according to POPIA.

Effective communication

• Timeous communication to line manager on delays experienced.
• Clear communication between stakeholders, colleagues and patients.
• Communicate changes relating to policies and general debt management clearly to relevant parties.
• Be a model of excellent customer service, ensuring that all customers experience a satisfactory interaction at all times.

Self Management and Development

• Identify self-development needs in terms of job requirements and career progression and bring these to the attention of the immediate manager.
• Formulate action steps to close the gap between the ideal and actual state of competence.
• Pursue self-development through Formal or Informal studies and share knowledge with relevant team members.
• Follow authorised action steps until desired competence is achieved.
• Be punctual and behave appropriately to the business environment.
• Meet deadlines.

Build and maintain stakeholder / customer relationships

• Ongoing Customers satisfaction according to set standards.
• Be a model of excellent customer service, ensuring that all customers always experience an excellent and satisfactory interaction.
• Build and maintain productive working relationships with all key stakeholders, internal and external customers.
• The Dental assistant to participate in dental department meetings and other related forums as per request from Clinic manager or responsible person.
• Accurately capture and provide timeous information, including clinical information to customers and stakeholders as required in line with POPIA act.
• Report, record and assist with stakeholder/customer dental complaints according to task allocation or Clinic Manager request.
• Maintain patient safety, dignity, and confidentiality.
• Assist with patient flow in the dental department to minimise waiting periods.

Education and training facilitation

• Actively participate in all training according to relevant training matrix to obtain sign off on compliance training, competencies aligned to daily tasks and Job description.
• Access, read, understand, and sign off on relevant quality review tools, clinical and other processes, and Standard Operating Procedures (SOP’s).
• Access, read, understand, and obtain sign off on Human Resources (HR) and other relevant Company policies and procedures.
• Provide proof of registration with the relevant governing body (where applicable).

Teamwork

• Participate in monthly team meetings to discuss operational requirements including performance and provide feedback.
• Be an active member of the dental team taking responsibility for the effective and smooth running of the dental area.
• Co-operate and collaborate with other clinics and departments to provide appropriate support services.

Requirements

Education

• Matric or equivalent NQF level 4 qualification.
• Higher certificate or diploma in Accounting / Finance / Business Administration at NQF level 6.

Work Experience

• 3- 5 years’ experience as a credit or debtors’ controller in a Healthcare environment i.e., Clinic or hospital.
• Experience within the Medical industry would be an advantage.
• SAP ISH experience (Preferred).

Knowledge and Skills

• Computer Literate.
• Knowledge of medical aids.
• Knowledge of billing procedures.
• Excellent written and verbal communication skills.
• Strong analytical and problem-solving skills.

Physical Requirements

In the event of any physical or psychological limitation that may impair the employee’s ability to perform the required job function, the employee must consult the employer for reasonable accommodation.