Billings Clerk (Theatre) – Medicare Private Hospital View All Careers
Description
A vacancy exists for a Billings Clerk (Theatre) reporting to the Patient Administration Manager. The successful candidates will be responsible for medical aid billing by gathering coding and transmitting patient care information to ensure maximum collection for all admissions.
Critical Outputs
• Application of ICD 10 codes, CPT codes, all medical aid tariffs and billing rules.
• Daily billing on all in and outpatient accounts (LOC, equipment and stock).
• Timeous closure and release of discharged patient accounts.
• Monitor receiving of discharged files and report delay trends.
• Assist with final audit of all patient accounts prior to release.
• Monitor release system to ensure complete submission.
• Liaise with Ward staff, Pharmacy and Theatre to obtain correct CPT codes, stock codes, equipment details, theatre time, type of procedure, anaesthetic gasses, etc.
• Ensure regular and effective communication with all members of the multi-disciplinary team.
• Ensure complete and efficient billing of all patient accounts requiring prosthesis.
• Identify risk areas and give feedback to Management.
Requirements
• Grade 12 or equivalent qualification
• A nursing qualification preferred
• Previous experience in a Billings department essential
• Private healthcare industry knowledge and an understanding of Medical Scheme rules and regulations
• ICD 10 - coding
• Knowledge of Hospital Information System
• Computer proficiency.
Competencies
- Collaboration/ Relationship Building
- Analytical thinking
- Problem-solving, analysis and judgement
- Resilience
- Engaging diversity
- Verbal & written communication and presentation skills
- Influencing
- Planning
- Customer responsiveness
- Excellence and quality orientation
- Ethical behaviour
- Technical and professional knowledge
- Attention to detail
- Builds effective teams
Departments
- Admin