Job description

Introduction

Are you an organized, empathetic, and detail-oriented professional with a strong understanding of medical aid and insurance processes? Do you excel in a fast-paced, customer-facing environment? Our leading psychology center in Johannesburg West is seeking a highly skilled Receptionist & Administrator to be the welcoming face of our facility, ensuring a seamless experience for our patients from arrival to billing.

This pivotal role requires a unique blend of exceptional administrative skills and a critical ability to navigate medical aid schemes, accurately codify services, and provide precise quotes to patients.

Duties & Responsibilities

Front Desk Management: Greet patients warmly, manage patient flow, answer and direct calls, schedule appointments, and maintain a professional and welcoming reception area.

Patient Registration: Accurately capture patient demographics and medical aid/insurance details.

Medical Aid & Insurance Expertise:

• Understand various medical aid schemes and rules.
• Verify patient benefits and eligibility with different medical aids.
• Interpret and apply correct diagnostic codes (e.g., ICD-10, CPT, NAPPI codes) by referring to our established service-to-code mapping system.
• Generate accurate quotes for services based on medical aid benefits and applicable codes, clearly explaining patient co-payments or private rates.
• Billing & Payments: Process payments, issue receipts, and assist with general billing inquiries.
• Statement and Reconciliation Report: Sent out clients statements on a monthly and Adhoc basis. Prepare monthly reconciliation report on what was billed for the months vs. what was paid by clients and Medical aids.
• Petty Cash:  Petty cash handling and weekly reconciliations.
• Medical Aid Rejection codes: Understanding medical aid rejections to make the necessary amendments and resubmission to medical aids and communicate rejection reason to patients.
• Administrative Support: Maintain patient records, manage filing systems (physical and electronic), handle correspondence and provide general administrative support to the Psychologist.
• Problem Resolution: Address patient queries and concerns with professionalism and empathy, escalating complex issues when necessary.
• Communication: Liaise effectively with patients, medical aid companies, and internal staff.

Desired Experience & Qualification

• Minimum 3-5 years of experience in a medical receptionist, administrative, or billing role within a healthcare environment (e.g., medical practice, hospital, or laboratory).
• Familiarity and knowledge of Elixir and CGM Systems.
• Proven, hands-on experience and a strong understanding of medical aid schemes processes, and benefit verification in South Africa.
• Demonstrable ability to work with medical coding systems (e.g., ICD-10, CPT, NAPPI codes) and apply them accurately to services for quoting purposes.
• Excellent computer literacy, including proficiency in Microsoft Office Suite (strong excel skills) and ideally experience with medical practice management software.
• Exceptional verbal and written communication skills in English.
• Strong interpersonal skills with a patient, empathetic, and professional demeanor.
• High level of accuracy and attention to detail, especially when handling sensitive patient information and financial data.
• Ability to multitask and work efficiently.
• Reliable, punctual, and highly organized.

Salary : Market Related

Email cv to hr@paulsenir.co.za