Patient Administration Manager - East London, South Africa - Tailormade Solution

Tailormade Solution
Tailormade Solution
Verified Company
East London, South Africa

1 week ago

Thabo Mthembu

Posted by:

Thabo Mthembu

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Description
A vacancy exists for
Patient Administration Manager reporting to the
Finance Manager.

This role is responsible for the management and coordination of patient administration resources, processes and operations to achieve a quality service and optimize the facility's profitability.


Critical outputs

  • Management of the total patient administration function including Case Management, Billings, Collections and Reception, i.e., tariffs/tariff structures, authorisations, LOS on confirmations, identify financial risks, copayments, etc.
  • Expediently investigate and resolve claims and payments
  • Process journals and adjustments
  • Reconcile Debtors control account
  • Liaise with Funders
  • Assist with quarterly and annual stocktakes
  • Meet and exceed customer requirements consistent with business priorities
  • Preparation of month end reports and statistics
  • Management and training of personnel
  • Ensure compliance with Company Policies/Procedures and Legislation

Requirements:


  • SANC registration as a Registered Nurse ideally with ICU experience
  • 5 years' experience of Medical Aid administration processes and case management (ICD10, CPT 4 Procedure Codes and Per Diems)
  • A minimum of 2 years supervisory or management experience
  • Knowledge of hospital billing system and tariff structure will be an added advantage
  • Experience in private healthcare environment
  • Knowledge of fixed fee and private packages
  • Relevant completed course in ICD and CPT coding

Skills

  • Collaboration
  • Report writing
  • Analytical thinking
  • Problemsolving, analysis and judgement
  • Resilience
  • Engaging diversity
  • Verbal & written communication and presentation skills
  • Influencing
  • Negotiation
  • Planning
  • Customer responsiveness
  • Excellence and quality orientation
  • Ethical behaviour
  • Technical and professional knowledge
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