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Job Post Details

Oncology Administrator - job post

Melomed Private Hospitals SA
Southern Suburbs, Western Cape
Full-time
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Job details

Job type

  • Full-time

Location

Southern Suburbs, Western Cape

Full job description

  • Manage the oncology debtors’ book to ensure effective financial control and revenue recovery.
  • Maintain the Age Analysis in line with collection targets and follow up on outstanding accounts.
  • Submit, monitor, and follow up on medical aid claims within regulated timeframes.
  • Investigate and resolve claim rejections, short payments, and discrepancies.
  • Reconcile medical aid remittances and ensure accounts are accurately updated.
  • Monitor stale claims and escalate or resolve prior to write-off approvals.
  • Process refund requisitions and ensure supporting documentation is accurate and complete.
  • Provide operational guidance to oncology ward clerks and billing staff to support compliance with credit control processes.
  • Provide hands-on operational support during peak periods to ensure deadlines and collection targets are achieved.
  • Conduct spot-checks and audits to ensure account accuracy and adherence to billing requirements.
  • Prepare and maintain accurate reporting of collection activities, administrative records and reports.
  • Build and maintain professional relationships with medical aids, patients, and internal stakeholders.
  • Ensure strict adherence to company policies, procedures, and confidentiality requirements.

  • Grade 12
  • A tertiary qualification will be advantageous
  • Minimum of five years’ experience as an Oncology Administrator, with supervisory or team leadership exposure
  • Proven ability to guide, develop, and motivate team members
  • Sound knowledge and experience relating to debtors’ administration and credit control in the private healthcare environment
  • Understanding of Prescribed Minimum Benefits (PMB) process, ICD-10, CPT codes, and hospital billing rules
  • In-depth knowledge of the NHN Billings Guidelines, SAOC and ICON
  • Strong interpersonal, influencing, communication and problem-solving skills
  • Excellent attention to detail and accuracy
  • Excellent computer skills
  • Ability to work effectively within a team
  • Ability to work in a pressurised environment
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