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- 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 CHG quality standards.
- Research, enable, 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.
- Manage Reception, Admissions, Case Management, and Billing Auditing departments efficiently.
- Monitor and ensure WIP (Work-in-Progress) is within agreed-upon periods.
- Maintain overall rejections within acceptable thresholds.
- Review, audit, and sign off on all consignments to ensure accuracy of billing and minimization of capital loss.
- Conduct daily EOC (End of Case) reconciliation to ensure billings are done within allotted timeframes per funder standards.
- Ensure case managers follow proper coding protocols to reduce rejection rates.
- Develop and implement admissions processes and protocols to maintain standards.
- Verify that all files requested and utilized meet CHG standards.
- Analyze data trends relating to rejections and short payments.
- Lead and drive the accurate and business billing process to achieve Patient Services metric targets.
- 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.
Patient Services Manager - Gauteng - Findojobs South Africa
1 month ago
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:
Requirements:
Estimated Salary:
R300,000 - R450,000 per annum.
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