Billings Manager - Centurion Verfied

Salary Negotiable Centurion, Gauteng Centurion, Gauteng more than 14 days ago 02-11-2021 11:41:30 AM
Billings Manager
Location: Centurion

The incumbent will be responsible for the financial risk management of the hospital, by ensuring accurate and timeous billing of all patient accounts. The incumbent will do so by managing the Case Managers, File Assessors and the Confirmations Staff. The Billings Manager will also be responsible for ensuring the effective patient liaison and dispute resolution.

Responsibilities:
Ensure effective patient liaison and dispute resolution
Ensuring daily, weekly and monthly tasks as per Billing Manager level of task document
Monitoring and maintenance of the DNYB and delayed weighting
Monitoring and maintenance of PIP cases
Monitoring and maintenance of high cost medication as per policy
Monitoring and maintenance of claim rejections
Maintain set targets as indicated on the BSC
Monitoring and reporting on MHC variance
Monitoring of ADCLIN system to ensure clinical appropriateness
Ensure accuracy of ICD 10 AND CPT 4 coding
Analysis of billing errors with appropriate action plans
Management of ARS and other contracts and associated reporting
Ensuring SOP’s are up to date
Effective management of cancelled cases
Manage results on all audits
Implement changes effectively
Motivation of system enhancements and adaptations
Manage credit control queries as per communication policy
Ensure effective communication and follow through with medical aids
Manage associated administrative tasks
Assist with any other duties assigned by the Pharmacy Manager from time to time
Assume responsibility for own personal and professional development

Job Requirements:
Grade 12 or Equivalent NQF Level 4 Qualification
Qualified Registered Nurse with valid SANC
3 – 5 years experience in a similar role (billings manager)