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    • Patient Services Manager - Gauteng - Clinix Health Group (Pty) Ltd

    Clinix Health Group (Pty) Ltd
    Clinix Health Group (Pty) Ltd Gauteng

    3 weeks ago

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    Description
    Job Title: Patient Services Manager
    Location: Clinix Botshelong-Empilweni Private Hospital (Vosloorus)
    Job Summary: Plan, organize and execute revenue cycle management at a hospital facility. Manage a team of specialists contributing to hospital finances through accurate billing and risk mitigation processes.
    Minimum Qualifications and Experience:
    • Bachelor's Degree in Nursing with Anatomy and Physiology qualifications
    • Current registration with SANC
    • 2-3 years' experience in a similar role in private healthcare
    • Intermediate and Advanced CPD and ICD coding
    • Computer Literacy
    Minimum Duties:
    • Deliver on the hospital's revenue cycle management operating plan
    • Inspect work performed in the revenue cycle management team and ensure work is performed according to quality standards
    • Research and consult on improvements and opportunities to harness technology
    • Review existing processes and suggest innovative ideas to improve and streamline processes to drive efficiencies and minimize redundancy
    • Ensure the development, alignment, mapping and implementation of end-to-end standard operating procedures/processes
    • Ensure efficient management of Reception, Admissions, Case Management and Billing Auditing departments
    • Ensure revenue and collections targets are achieved by effectively managing the department
    • Monitor and ensure WIP is within the agreed upon periods
    • Ensure overall rejections are within the acceptable threshold
    • Review, audit and sign off on all consignments to ensure accuracy of billing and minimization of capital loss
    • Conduct daily EOC reconciliation to ensure billings are done within the allotted timeframes per funder standards
    • Ensure case managers follow proper coding protocols to reduce rejection rates
    • Ensure case managers maintain an up-to-date register of length of stay and update the funders regularly to ensure all services rendered are paid for
    • Develop and implement admissions process and protocols and ensure adherence of all admissions staff to maintain standards
    • Ensure that all files requested and utilized are in accordance with standards
    • Review services on SAP to ensure optimization of billings of services
    • Analyze data trends relating to rejections and short payments
    • Lead and drive the accurate and business billing process to ensure Patient Services metric targets are achieved
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