Billing Operations Cluster BOC File Assessor

Billing Operations Cluster BOC File Assessor - JHB North page is loaded## Billing Operations Cluster BOC File Assessor - JHB Northlocations: Netcare Sunninghill Hospitaltime type: Full timeposted on: Posted Todaytime left to apply: End Date: November 12, 2025 (4 days left to apply)job requisition id: JR **We provide meaningful careers that connect people with purpose.****We are united by a common purpose of providing the best and safest care; and by our shared values of Care, Truth, Participation, Compassion and Dignity.****Netcare invites you to be part of our journey.**KEY WORK OUTPUT AND ACCOUNTABILITIESDISRUPTIVE INNOVATIONFile assessing• Assessing of actual accommodation, level of care and length of stay of patients.• Assessing of theatre events for time, theatre type and equipment.• Assessment of services to ensure that all surgicals, ethicals, direct buy outs (DBOs), gases are billed on account as per actual use.• Assessing of long-term patient accounts for interim billing to identify SAP billing error messages.• All final assessing needs to happen electronically on the provided systems.• Following up on DNYB delay reasons.• Utilization of billing tools (BOS, Billing Estimation, Billing Mapping etc.) to decrease errors before submitting a final billed account to the funder.• Apply knowledge of ARM agreements to reduce billings errors. Be vigilant how the rules are applied by the system.General• Any other duties assigned by the Billings Manager from time to time.E-queries• Study rejection trends and proactively apply knowledge to prevent short payments and rejections.Final gatekeeper• Limit reputational risk due to under- or over billing .• File assessor as final gatekeepers on the quality of our accounts must exercise judgement to prevent premature final billing of inaccurate accounts.TRANSFORMATION OF OUR SOCIETYPersonal and professional development• Assume responsibility for own personal and professional development, including completion of Insight Training.• Keep up to date with Netcare’s evolving policies and procedures. SKILLS PROFILEEDUCATIONRequired• Grade 12 or equivalent NQF Level 4 QualificationWORK EXPERIENCERequired• Experience in a healthcare setting.• Experience with any clinical or healthcare related billing systems.KNOWLEDGERequired• Computer literatePHYSICAL REQUIREMENTSIn the event of any physical or psychological limitation that may impair the employee’s ability to perform the required job function, the employee must consult the employer for reasonable accommodation.VALUES AND BEHAVIOURSNetcare ValuesAt Netcare, our core value is care. We care about the dignity of our patients and all members of the Netcare family. We care about the participation of our people and our partners in everything we do. We care about truth in all our actions. We are compassionate about quality care and professional excellence.• Care - The basis of our business. The professional, ethical patient care and services we offer at every level of the organisation.• Truth - The crucial element in building relationships that work. Open communication with honesty and integrity is essential.• Dignity - An acknowledgement of the uniqueness of individuals. A commitment to care with the qualities of respect and understanding.• Compassion - The creative, compassionate and innovative drive to do things better than before. To develop and implement successful healthcare solutions for all.• Participation - The willingness and desire to work in productive and creative partnerships with others and the commitment to communicate.The Netcare WayNetcare is committed to providing quality care. Our basic service standard holds us accountable for the below seven behaviours which you will be accountable to uphold:• I always greet everyone to show my respect.• I always wear my name badge to show my identity.• I always treat others with consideration and humility to uphold dignity• I always act in the best interest of Netcare and others to show I care.• I always listen with empathy and respond with kind action to show my compassion• I always say thank you to show my appreciation.• I always embrace diversity to strengthen inclusivity and belonging.SKILLSCustomer Focus and Service DeliveryThe capacity to identify and respond to the needs of \*internal and external customers.Personal Work EthicCapacity to instil an ethic of quality and consistency in self and others.Building RelationshipsCapacity to establish constructive and effective relationships.CommunicationThe capacity to clearly present information, either written or verbal.TeamworkCapacity to cooperate with others to work towards a common goal.Technical KnowledgeThe capacity to perform a technical function to required standards.WORKING CONDITIONS• Professional flexibility in working hours while supporting daily business operations which may include weekends and night shifts where applicable.• Will interact with internal and external customers through several different means.Join the team that providing the best and safest care.**We provide meaningful careers that connect people with purpose.** We attract highly skilled, engaged, and performing employees who are passionate about providing quality health and care. By joining Netcare, you will feel a great sense of inclusion and belonging as part of a family that cares about your growth and wellbeing. You will work with the best-in-class technology with high standards of health and safety. We offer competitive remuneration and benefits that are benchmarked against the best market trends. You will enjoy a fulfilling career working in a high performance, values driven organisational culture that values diversity.The Netcare Group offers a wide spectrum of career opportunities within various disciplines including nursing, emergency medical services, pharmaceutical services, information technology, human resources, finance and administration, procurement, technical and maintenance and marketing.## Our recruitment process typically follows the following steps:* ## Should you be shortlisted for the position, you will be contacted by the relevant HR Department to arrange an interview.* ## Our selection process may further include employee risk assessments which includes employment references, credit, criminal and qualification checks.* ## Should your application be successful, our human resources department will provide you with a formal letter of appointment and will contact you with information to facilitate your onboarding process.* ## Kindly note that only shortlisted candidates will be contacted. Applicants who have not been contacted within 30 days of the closing date of this advert, should consider their application as unsuccessful.**Our story begins with our values and our behaviours.**We are motivated by a belief in the sanctity of human life. We see it as a privilege to serve South Africans in their time of greatest need and vulnerability.To this end, we constantly explore new ways to blend compassion with cutting edge capabilities. But while much has been said about our world class facilities, our global benchmarks and clinical best practice, our greatest strength is our people.**People who care for other people.****Our Netcare people****At Netcare, our people are the heartbeat of our organisation. We strive to grow with talented, compassionate people.** Our people come from diverse backgrounds and cultures, and are united by a common purpose of providing the best and safest care; and by our shared values of Care, Truth, Participation, Compassion and Dignity. Our values and behaviours reflect our belief in human dignity, and guide how we treat each other.#J-18808-Ljbffr