The incumbent will be responsible for the Revenue Cycle Management of the hospital, by ensuring accurate and timeous billing of all patient accounts. The incumbent will do so be managing the Case Management, Bill Auditing and Confirmations Teams. The Billings Manager will also be responsible for ensuring effective patient liaison and dispute resolution.
Key Performance Areas: (include but are not limited to)
Actively participate as a member of a team to achieve goals.
Motivation of system enhancements and adaptations.
Ensure daily, weekly and monthly tasks as per Billing Manager level of task document.
Strict Monitoring and maintenance of the DNYB.
Analysis of Billings Errors with appropriate remedial action
Manage the Fixed Fee Contract with appropriate reporting.
Monitor accuracy of ICD10, CPT Coding and Level of Care for clinical appropriateness.
Review / Manage Medikredit reports and action accordingly.
Manage credit control queries as per communication policy.
Keep up to date with funder rules and requirements.
Keep abreast with changes in the medical environment.
Post Requirements: (include but are not limited to)
Grade 12 or Equivalent NQF Level 4 Qualification
Qualified Registered Nurse
3-5 years' experience in a management role.
Sound knowledge of the Private Hospital business operations.
Sound knowledge of the Case Management & Billing process, ICD 10 and CPT4 coding.