Medical Billing Administrator, Midstream, Pretoria

A specialist Obstetrics and Gynaecology practice in Midstream, Pretoria is seeking to recruit an experienced Medical Billing Administrator. The successful candidate will be organised, proactive, and capable of managing billing processes, reconciliations, authorisations, and related administrative functions within a fast‑paced private practice environment.

Roles and Responsibilities (but not limited to):

Perform accurate medical aid billing using GoodX or similar medical software

Maintain billing sheets and adjust procedure and consumable codes where required

Update patient information on the practice management system

Bill surgeries and submit claims to medical aids

Manage reconciliations, billing queries, and follow up to resolution

Coordinate assistant fees and manage network agreements with medical aids

Process Workers' Compensation accounts and supporting documentation

Reconcile remittances and related invoices

Send patient accounts and manage debt collection processes

Report collection progress to management

Facilitate handovers to debt collection agencies where required

Request medical aid authorisations and escalat delays when necessary

Liaise with medical aids, patients, hospitals, and reception staff

Update procedure and ICD10 codes with hospital case managers

Compile patient cost estimates and obtain hospital estimates for private patients

Source consumable suppliers, place orders, and manage supplier invoices

Resolve supplier billing discrepancies

Answer calls and handle patient queries professionally

Maintain organised filing and administrative systems

Provide reception support when required

Qualification and Requirements:

Matric / Grade 12

Experience in a similar medical billing or medical accounts role

Strong knowledge of medical aid billing procedures and claims submission

Knowledge of procedure coding, ICD10 coding, and medical terminology

Understanding of POPIA, privacy regulations, and billing compliance requirements

Experience with GoodX advantageous

Obstetrics and Gynaecology billing experience advantageous

Proficiency in Microsoft Office including Excel, Word, and Outlook

Fluent in Afrikaans and English (verbal and written)

Skills&Attributes:

High attention to detail and accuracy

Strong organisational and administrative skills

Effective time management and ability to meet deadlines

Excellent communication and interpersonal skills

Team player with collaborative approach

Strong problem solving ability

Adaptable and able to manage changing priorities

Professional customer service approach

Financial acumen and numerical accuracy

Reliable and proactive work ethic

Work Hours Monday to Friday, 08h00– 16h30

Start Date ASAP

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