• Manages and mentors own staff to ensure they have the skills required by the practice and are able to achieve their performance objectives.
• Drafts and issues internal work instructions ensuring that they are ISO compliant and ensures adherence thereof.
• Supervise and monitors time and attendance records for staff reporting to them and ensures adherence to regulations.
• Management and control of work allocation to ensure that work is distributed evenly and is completed within the given TAT.
• Maintains constant liaison with management and provides feedback regarding any irregularities
• Attend to escalated queries from staff to ensure prompt response to query and stringent TAT.
• Provides excellent customer service to ensure customer satisfaction at all times.
• Required to perform other duties as assigned by Management
• Responsible for setting up of all medical aid related information on the system is correct.
• Responsible for informing the relevant teams to investigate any rejections or system related queries to ensure that it is rectified and resubmitted to the medical aid.
• Ensures that medical aid payments are received on the due date, processed and the suspense accounts reconciled.
• Ensures all medical aid claims submitted to the various medical funds are either paid or rejected within the claiming period.
• Manage medical aid payments made and ensure all electronic and manual paper remittances have been received and allocated.
• Manages eligibility of claims to ensure the claims with errors are edited and are submitted to the medical aids once verified.
• Ensures all deceased estates are followed up on or investigated with the medical aid
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