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  • Patient Services Manager - Gauteng - Findojobs South Africa

    Findojobs South Africa
    Findojobs South Africa Gauteng

    1 month ago

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    Description

    Patient Service Manager Job Description

    A well-known private hospital group is seeking a Patient Service Manager to join their team in Johannesburg South. This role plays a vital part in planning, organizing, and executing the revenue cycle management at a hospital facility.

    The successful candidate will manage a team of specialists who contribute to hospital finances through accurate billing and risk mitigation processes.

    Key Responsibilities:

    1. Deliver on the hospital's revenue cycle management operating plan.
    2. Inspect work performed in the revenue cycle management team and ensure work is performed according to CHG quality standards.
    3. Research, enable, and consult on improvements and opportunities to harness technology.
    4. Review existing processes and suggest innovative ideas to improve and streamline processes to drive efficiencies and minimize redundancy.
    5. Ensure the development, alignment, mapping, and implementation of end-to-end standard operating procedures/processes.
    6. Manage Reception, Admissions, Case Management, and Billing Auditing departments efficiently.
    7. Monitor and ensure WIP (Work-in-Progress) is within agreed-upon periods.
    8. Maintain overall rejections within acceptable thresholds.
    9. Review, audit, and sign off on all consignments to ensure accuracy of billing and minimization of capital loss.
    10. Conduct daily EOC (End of Case) reconciliation to ensure billings are done within allotted timeframes per funder standards.
    11. Ensure case managers follow proper coding protocols to reduce rejection rates.
    12. Develop and implement admissions processes and protocols to maintain standards.
    13. Verify that all files requested and utilized meet CHG standards.
    14. Analyze data trends relating to rejections and short payments.
    15. Lead and drive the accurate and business billing process to achieve Patient Services metric targets.

    Requirements:

    • 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.

    Estimated Salary:

    R300,000 - R450,000 per annum.


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