Patient Administration Manager – Umtshezi 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
- Strategic agility
- Planning
- Customer responsiveness
- Project management
- Organisational awareness
- Excellence and quality orientation
- Ethical behaviour
- Technical and professional knowledge
- Adaptability
- Attention to detail
- Builds effective teams
- Change agent
- Coaching
- Conflict resolution
- Innovation
- Decision making
- Delegation
- Staff retention
- Organising
- Quantitative analysis
Departments
- Management