26 Medical Account jobs in South Africa

ISTA Personnel Solutions South Africa is a global BPO company partnering with a U.S.A Medical Billing Company. We are looking for an experienced Medical Billing Collections specialist, specifically handling U.S. healthcare insurances such as Medicare, Medicaid, etc.

To excel in this role, a strong understanding of US healthcare, billing terms, and processes is essential. As a customer-facing position, it also demands professionalism and empathy in all patient interactions.

PLEASE NOTE THE FOLLOWING :

• Working Hours: This role requires you to work EST hours, Mon - Fri, from 9am to 6pm EST time (15h00 to 24h00 South African time - subject to change depending on daylight savings and operational requirements)
• Work Environment: This is a remote role for South African Citizens only.
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
• Power Backup: A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.

Responsibilities :

1. Patient Payment Collection – Follow up with patients to collect payments, establish payment plans, and resolve billing inquiries.
2. Claims Review and Billing – Review EOBs, identify errors, and work with insurance providers to resolve claim issues.
3. Verification of Benefits – Confirm and validate patient eligibility and coverage details with insurance providers.
4. Census Management – Maintain accurate and up-to-date census data to track patient admissions and discharges.
5. Medicaid Processing – Handle Medicaid billing, submissions, and follow-ups to ensure compliance and timely reimbursement.
6. Cash Posting – Accurately post and reconcile patient payments and insurance remittances.
7. Billing – Prepare and submit billing statements to insurance providers, ensuring compliance with billing guidelines.
8. Claims Tracking – Monitor the status of submitted claims and follow up with insurance providers on denials or discrepancies.
9. Aging Analysis – Analyze and manage aging reports to identify overdue accounts and implement follow-up strategies.
10. Bank Reconciliation – Reconcile daily financial transactions and resolve discrepancies between payments and records.
11. Back Office Support – Save and manage documents received from third parties to ensure proper record-keeping and compliance.
12. System Management – Use billing systems to update records, track payments, and document interactions.
13. AR Reduction – Focus on lowering Accounts Receivable (AR) by meeting collection targets and analyzing aging reports.
14. Metrics and Compliance – Meet client-defined benchmarks and ensure compliance with HIPAA regulations.
15. Client Communication – Provide regular updates on collection progress and discuss performance metrics with the client.
16. Problem Resolution – Escalate complex issues and suggest improvements to enhance collection efficiency.

Requirements

What we are looking for in a candidate :

• Exceptional English communication skills (comprehension, fluency, etc.);
• Customer Service with a collections background;
• Skilled in MS Office (Word) and Outlook;
• Strong work ethic;
• A fast learner;
• Excellent problem-solving abilities.

If you are not contacted within 14 working days, please consider your application unsuccessful.

ISTA Personnel Solutions South Africa is a global BPO company partnering with a U.S.A Medical Billing Company. We are looking for an experienced Medical Billing Collections, specifically handling U.S. healthcare insurances such as Medicare, Medicaid etc.

To excel in this role, a strong understanding of US healthcare, billing terms, and processes is essential. As a customer-facing position, it also demands professionalism and empathy in all patient interactions.

PLEASE NOTE THE FOLLOWING:

• Working Hours: This role requires you to work EST hours, Mon - Fri, from 9am to 6pm EST time (15h00pm to 24h00am South African time - subject to change depending on daylight savings and/or the operational requirements of the Company)
• Work Environment: This is a remote role for South African Citizens only.
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
• Power Backup: A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.
  
  

• Patient Payment Collection - Follow up with patients to collect payments, establish payment plans, and resolve billing inquiries.
• Claims Review and Billing - Review exclusion of benefits (EOBs), identify errors, and work with insurance providers to resolve claim issues
• Verification of Benefits - Confirm and validate patient eligibility and coverage details with insurance providers
• Census Management - Maintain accurate and up-to-date census data to track patient admissions and discharges
• Medicaid Processing - Handle Medicaid billing, submissions, and follow-ups to ensure compliance and timely reimbursement
• Cash Posting - Accurately post and reconcile patient payments and insurance remittances.
• Billing - Prepare and submit billing statements to insurance providers, ensuring compliance with billing guidelines.
• Claims Tracking - Monitor the status of submitted claims and follow up with insurance providers on denials or discrepancies.
• Aging Analysis - Analyze and manage aging reports to identify overdue accounts and implement follow-up strategies.
• Bank Reconciliation - Reconcile daily financial transactions and resolve discrepancies between payments and records.
• Back Office Support - Save and manage documents received from third parties to ensure proper record-keeping and compliance
• System Management - Use billing systems to update records, track payments, and document interactions.
• AR Reduction - Focus on lowering Accounts Receivable (AR) by meeting collection targets and analyzing aging reports.
• Metrics and Compliance - Meet client-defined benchmarks and ensure compliance with HIPAA regulations.
• Client Communication - Provide regular updates on collection progress and discuss performance metrics with the client.
• Problem Resolution - Escalate complex issues and suggest improvements to enhance collection efficiency
  
  

• Exceptional English communication skills (comprehension, fluency etc.);
• Customer Service with a collections background
• Skilled in MS Office (Word) and Outlook
• Strong work ethic;
• A fast learner;
• Excellent problem-solving abilities
  
  

• Seniority level Mid-Senior level

• Employment type Full-time

• Job function Other
• Industries IT Services and IT Consulting

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• Relevant B-degree PLUS honours
• Strong academic achievements a MUST
• Min 5yrs exp in a financial role where youve ensuring accuracy of financial transactions, maintaining compliance with accounting standards and contributing to the overall financial health of the organisation
• Advanced MS Excel (with Pivot tables) and PowerBI a MUST
• Fluency in Afrikaans and English

• Up to R780K C.T.C. per annum

• Compile accurate reconciliation statements for 3rd party channels as per commission agreements and incentive letters.
• Prepare, validate and distribute reports for invoicing, and ad hoc reports.
• Maintain and organize all calculations and reports on shared drives.
  
  
  

• Receive, investigate, and resolve commission or incentive queries from internal teams, third parties, and auditors.
• Ensure timely, structured feedback and maintain clear records for all engagements.
  
  
  

• Track and reconcile expenses and commission payments for various channels.
• Validate dealer invoices for VAT compliance and alignment with Openserve requirements.
• Process input journals and submit accurate data for monthly provisioning and payment tracking.
• Check and validate completed orders for incentive payments.
  
  
  

• Manage clawback verifications, approvals, and rectifications in line with Delegation of Authority.
  
  
  

• Contribute to the design, implementation, and maintenance of policies, procedures, and guidelines related to commissions, incentives, and clawbacks.
  
  
  

• Lead and manage team performance through setting standards, coaching, feedback, and corrective actions where necessary.
• Foster a culture of accountability, accuracy, and continuous improvement.
• Campaign management & channel support.
  
  
  

• None
  
  
  

• NQF 6: 3 year Diploma/ National Diploma
  
  
  

• 3 Years relevant experience
  
  
  

• Qualification in Finance, Accounting, or related field.
  
  
  

• Working knowledge of 3rd party agreements and channel commission processes.
• May be required to work after hours during peak reconciliation or reporting periods.
  
  
  

• Valid Drivers license
  
  
  

• None
  
  
  

• Internal and external finance teams
• 3rd party channels
• Sales
• Audit
• Commercial and Legal teams

The University of the Western Cape (UWC) enjoys national and international acclaim for its continuing contribution to democratic change in South Africa and for making quality education accessible to all South Africans and developing centres of excellence of national importance. The successful candidate will join a dynamic and supportive Faculty dedicated to teaching, research and community engagement, as well as to overall student development. The ideal candidate will be highly motivated and willing to make a significant contribution to the development of the Faculty.

The Faculty of Economic and Management Sciences, offers a range of undergraduate and postgraduate programmes that educates students across academic units including Accounting, Economics, Industrial Psychology (Human Resources Management), Information Systems, Institute for Poverty, Land and Agrarian Studies (PLAAS), Institute for Social Development, Political Studies, Management and Finance Clusters, School of Government and the Academic Literacies Programme.

The Department of Accounting has accreditation with the South African Institute of Chartered Accountants (SAICA). The Department offers a three-year undergraduate degree and a one-year Postgraduate Diploma in Accounting (PGDA) towards SAICA’s Initial Assessment of Competence (IAC). The Department also offers an alternative three-year degree in Accounting, which is accredited by the South African Institute of Professional Accountants (SAIPA).

The successful candidate for Senior Lecturer/Lecturer will be responsible for the following key performance areas:

• Facilitating learning and teaching at undergraduate and postgraduate level, primarily in the area of Financial Management and/or Taxation
• Provide academic leadership and administration at subject level
• Undertake curriculum development and assessment
• Engage in academic administration and leadership
• Conduct research and publish
• Undertake undergraduate and postgraduate supervision
• Participate in community engagement and outreach
• Contribute to the co-ordination and management of the Department’s teaching and research programmes.

Minimum Requirements – Senior Lecturer:

• CA (SA) qualification and a relevant Master’s degree
• Demonstrated experience in facilitating learning and teaching in Financial Management and/or Taxation or related Accounting courses
• A record of publications, preferably in the field of Financial Management and/or Taxation (to provide full details of publications, if any, in CV)

Additional Advantages – Senior Lecturer:

• A PhD in Financial Management or Taxation or related Accounting discipline
• Demonstrated experience in facilitating learning and teaching on SAICA accredited Financial Management and/or Taxation or related courses
• Recognized academic leadership (e.g. subject head, programme coordinator, module coordinator)
• Extensive practical experience in the development of professional academic courses and programmes in Financial Management and/or Taxation or related courses (e.g. SAICA or an equivalent accreditation).

Minimum Requirements –Lecturer:

• CA (SA) qualification
• Demonstrated experience in facilitating learning and teaching in Financial Management and/or Taxation or related Accounting courses

Additional Advantages - Lecturer:

• A Master’s degree in Financial Management or Taxation or related Accounting discipline

Key Competencies:

• Excellent verbal and written communication skills in English
• Proven ability to work as a senior member of a professional department within a Faculty of Economic and Management Sciences
• Presentation and facilitation skills
• Student focused approach
• Planning and organising skills
• Computer literacy and e-learning skills
• Technical professional knowledge and skills in the discipline and in the core strategic areas, namely learning and teaching, research and scholarship, community engagement as well as professional leadership.

N.B. Preference will be given to candidates who meet the requirements for the Senior Lecturer position.

For further information (but not applications), please contact Sonnette Smith at

The purpose of this role is to maintain accurate and up-to-date financial data, ensuring compliance with internal policies and regulatory requirements as well as overseeing and providing guidance to junior staff members in the finance department.

Minimum Qualifications:

• Matric/ Grade 12
• Bachelor’s degree in finance, Accounting, Business Administration, or related field
• Minimum of 3-5 years’ experience in finance, accounting, or data management roles
• Previous debtors/creditors management experience is beneficial with preferred exposure to the retail industry
• Proficiency in financial software and systems, such as ERP systems (e.g., SAP, NetSuite, Oracle, Dynamic 365 ), Microsoft Excel, and database management tools

Responsibilities:

• Data Management:
• Maintain accurate financial records, including accounts receivable, payable, and general ledger entries
• Ensure timely and accurate processing of financial transactions, including invoices, payments, and journal entries
• Regularly reconcile financial data to identify discrepancies and resolve issues promptly
• Develop and implement standardized processes for data entry, validation, and documentation
• Master Data Maintenance:
• Update and maintain master data records, including vendor and customer information, pricing structures, and payment terms
• Conduct regular audits of master data files to ensure completeness, accuracy, and consistency
• Collaborate with stakeholders to address any discrepancies or issues related to master data
• Reporting and Analysis:
• Analyse financial data to identify trends, variances, and opportunities for improvement
• Provide insights and recommendations to management based on financial analysis and performance metrics
• Process Improvement:
• Identify areas for process improvement and efficiency gains in financial data management
• Implement best practices and procedures to enhance data quality, accuracy, and reliability
• Collaborate with cross-functional teams to develop and implement system enhancements or automation initiatives
• Compliance and Risk Management:
• Ensure compliance with internal policies, accounting standards, and regulatory requirements
• Proactively identify and mitigate risks related to financial data integrity and accuracy
• Stay informed about changes in regulations and industry standards impacting financial reporting and data management
• Staff Management:
• Provide guidance and support to junior staff members in the finance department
• Delegate tasks effectively, ensuring timely completion and adherence to quality standards
• Facilitate training and development opportunities to enhance the skills and knowledge of staff

Key Skills and Competencies:

• Good understanding of financial principles and accounting practices
• Excellent analytical and problem-solving skills, with a keen attention to detail
• Effective communication and interpersonal skills, with the ability to collaborate across departments and levels of the organization
• Proven ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment
• Proven ability to manage and motivate a team
• Excellent organisational skills

Analyst, Regulatory Instruction Management, Financial Crime Management Unit

Job Overview

Business Segment: Group Functions

To receive, study, interpret, analyse, validate, understand, research, investigate, determine bank exposure and customer behavior, and conduct forensic data searches, all culminating in the preparation and presentation of Reports and Information Packs to execute Legal and Regulatory Instructions (Subpoenas). This is essential in order to contribute to the assurance that business is undertaken in a compliant manner to avoid operational losses, fines, penalties or reputational damage to the organization.

Qualifications

Minimum Qualifications
Type of Qualification: National Certificate
Field of Study: NQF level 5 qualification in Business Commerce or Finance and Accounting or Audit or Banking or Risk Management or Legal would be acceptable. AML or an equivalent Certification would be an added advantage.

Experience Required
Group Anti Financial Crime
Compliance
3-4 years
Experience in bank processes, products and systems. Experience in dealing with different stakeholders at different levels both internal and external.

3-4 years
Experience in the realm of Anti-Fraud, -Bribery, -Market Abuse, -Money Laundering and Combatting Financing of Terrorism Surveillance, Analytics and Investigation.

Please note: All our recruitment processes comply with the applicable local laws and regulations. We will never ask for money or any form of payment as part of our recruitment process. If you experience this, please contact our Fraud line on +27 800222050 or