Patient Administration Manager - Medicare Private Hospital View All Careers
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, co-payments, etc.
• Expediently investigate and resolve claims and payments.
• Process journals and adjustments.
• Reconcile Debtors control account.
• Liaise with Funders.
• Assist with quarterly and annual stock-takes.
• 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.
Competencies
- Collaboration/ Relationship Building
- Report writing
- Analytical thinking
- Problem-solving, analysis and judgement
- Resilience
- Engaging diversity
- Verbal & written communication and presentation skills
- Negotiation
- Influencing
- Planning
- Customer responsiveness
- Excellence and quality orientation
- Ethical behaviour
- Technical and professional knowledge
- Organising
Departments
- Management