Relief Bill Auditor

2 months ago


Durban, South Africa JOINT MEDICAL HOLDINGS Full time

PURPOSE OF POSITION

The incumbent will be responsible for the accessing of patient files for accurate billing within scale of benefits and contractual commitments for submission to medical aids for payment.

Inspect, correct, and verify all business accounts and processes.

KEY PERFORMANCE AREAS
- The provision of an efficient, effective and acceptable information, advisory and helping service to customers (patients, visitors, doctors, nursing staff and other health professionals)
- Manage the provision of accurate information to customers.
- Perform and document internal audit of hospital billing processes and controls.
- Identify and action all corrective measures on all accounts and benchmark against Group targets.
- Ensure compliance with our audit process.
- Draw up reports with regards to the accuracy of coding, and ensure it reflects the accurate diagnosis as well as losses.
- Manage accuracy and integrity of data.
- Manage efficiencies around the billing processes. COMPETENCIES (The following will be advantageous)

MINIMUM REQUIREMENTS

(Educational Qualifications & Experience)

Grade 12 Certificate

3 - 5 Years Hospital experience.

Experience in Bill auditing

Nursing Qualification

Computer Literate and Excellent interpersonal skills and communication skills.

Must be able to work under pressure and decision making.

Experience with Medical Aids and Pre-Authorizations.

Background knowledge of Basic ICD and CPT codes as well as Medical experience will be of the added value.

Own vehicle essential.

SKILLS

(Practical & Technical)

Must be honest, truthful and conscientious in their approach to, and in their performance of their work.

Free from any influence that may be impair objective professional judgement will all inferences to the tariff interpretation contracts.

Abreast of current businesses processes as well as future development in the medical aid service provider industry, and his knowledge and skill is to be maintained at a level sufficient to ensure competent professional service; and

Courteous and considerate to all whom they may come into contact.

BEHAVIOURAL ATTRIBUTES

(Personality Characteristics)

Professionalism and initiative

Well-spoken and respectful

Must be able to adhere to all company rules and policies.

JMH VALUES

(Commitment)

We respect the dignity of an individual.

We are committed to giving our doctors top quality service.

We are committed to building an atmosphere of trust, and to train and develop our staff to their fullest potential.

We are committed to providing our shareholders with a fair rate of return on their investment.

We will act in a responsible manner towards our physical and social environment.

POPIA CLAUSE - HR ADVERTS

Your information is collected and processed in accordance with the Protection of Personal Information Act No 4 of 2013 (POPIA).

If unsuccessful, your personal information is securely destroyed and is not retained by the company.

Yours faithfully

Jenny Bux

Group HR Manager

Application Deadline: 2024/10/04


  • Bill Auditor

    6 months ago


    Durban, South Africa JOINT MEDICAL HOLDINGS-CITY HOSPITAL Full time

    **JOINT MEDICAL HOLDINGS PROPRIETARY LIMITED** Registration No. 2011/010448/07 **VACANCY: JOINT MEDICAL HOLDINGS** **DIVISION: CITY HOSPITAL** **JOB TITLE: BILL AUDITOR** **PURPOSE OF POSITION** - The incumbent will be responsible for the accessing of patient files for accurate billing within scale of benefits and contractual commitments for submission to...


  • Durban, South Africa HR Ingenuity Full time

    A well established Medical Billing company is seeking an Auditor Medical Billing Specialist is responsible for reviewing, auditing, and monitoring the accuracy and compliance of medical billing activities across all branches. **Key Responsibilities**: - **Audit Billing Patterns**: - Review and identify incorrect billing patterns across the branches. -...

  • Relief Case Manager

    2 months ago


    Durban, South Africa JOINT MEDICAL HOLDINGS Full time

    PURPOSE OF POSITION Following the JMH policy with regards to clinical updating within turnaround times and service level agreements. Accurate and complete ICD 10/ CCSA coding. Month end deadlines. Ensure accurate and complete billing. Ensure adequate and appropriate information is communicated about the medical schemes. To manage the internal DSO and...

  • Clinical Coder

    5 months ago


    Durban, South Africa Careforce Medical Recruitment Full time

    Our client, a hospital group who has provided health care services in Kwa-Zulu Natal based in Stanger are looking to recruit a Billing Auditor for their private hospital. The main purpose of the job is to provide timeous, efficient, accurate auditing of patient files including medical charts and records for compliance with coding regulations and guidelines...

  • Night Auditor

    5 months ago


    Durban, South Africa Balmoral Hotel Full time

    3 to 4 years of experience in a night audit position Proficient in Apex/Pluspoint/Sempa Strong Management SkillsMatricRelevant qualification is required. Job Duties Front Desk Operations:Check-in and check-out guests during the overnight shift. Respond to guest inquiries, requests, and complaints in a courteous and professional manner. Handle...

  • Clinical Auditor

    6 months ago


    Durban, South Africa Talent Pal Full time

    **Introduction** Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by...

  • SAP Consultant

    6 months ago


    Durban, South Africa Edward Snell Full time

    **QUALIFICATIONS AND MINIMUM REQUIREMENTS** - 3-5 years’ experience working on SAP is essential. - Costing Diploma or Degree is mandatory. - Relevant IT/Business Degree advantageous. - Must be SAP certified. - ABAP experience is advantageous. **KEY RESULT AREAS/ RESPONSIBILITIES** - Subject matter expert and custodian of SAP ECC. - Accountable for SAP...

  • Duty Manager

    5 months ago


    Durban, South Africa HotelJobs.co.za Full time

    Kendrick Recruitment is searching for a dedicated and experienced Duty Manager to join our dynamic team. The Duty Manager will primarily oversee the Front Desk operations, ensuring the smooth and efficient running of our hotel during. This key position plays a vital role in maintaining high standards of guest service and hotel security while supporting the...

  • SAP Consultant

    5 months ago


    Durban, South Africa Pollock and Associates Full time

    SAP Consultant FMCG / Food & Bev /Agri ~ ICT ~ Manufacturing Durban - Kwa Zulu Natal - South Africa If you have a strong background in SAP consulting and possess the required qualifications and experience, we encourage you to apply. Qualifications: - Relevant IT/Business Degree - Costing diploma or equivalent is mandatory. - Must be SAP certified. - SAP...

  • Renal Care Coordinator

    5 months ago


    Durban, South Africa Aloecrest Medical Hospital Full time

    The responsibility of the Renal Care Co-ordinator will be to facilitate the enhancement of more holistic disease management for patients by seamlessly integrating currently disjointed aspects of the renal journey. Improving patient care by supporting the Renal Unit Manager and the Multidisciplinary Team on care activities KEY WORK OUTPUT AND...

  • Area Manager

    6 months ago


    Durban, South Africa Tsebo Group Full time

    **About Us**: As a leading African Integrated Workplace Management Solutions Provider, Tsebo Solutions Group offers clients **reduced costs, risk and complexities** together with **increased quality, efficiency and productivity**. We specialise in **Catering**, **Facilities Management**, **Cleaning and Hygiene**, **Pest Control**, **Protection**, **Energy**,...


  • Durban, KwaZulu-Natal, South Africa Cappop Media Solutions Full time

    Job Title: Senior Accounts PersonWe are seeking a highly experienced and detail-oriented Senior Accounts Person to join our finance team in the print industry.Key Responsibilities:Oversee the financial management of the print operations, ensuring accuracy, compliance, and adherence to financial policies and procedures.Prepare and analyze financial...


  • Durban, KwaZulu-Natal, South Africa Cappop Media Solutions Full time

    Job Title: Senior Accounts PersonIndustry: PrintJob Summary: We are seeking a highly experienced Senior Accounts Person to join our finance team. The successful candidate will manage all financial aspects of our print operations, including financial reporting, budgeting, forecasting, and accounts receivable/payable management.Responsibilities:Oversee the...


  • Durban, KwaZulu-Natal, South Africa Cappop Media Solutions Full time

    About the RoleCappop Media Solutions seeks a highly experienced and detail-oriented Senior Accounts Person to manage all financial aspects of our print operations.Key ResponsibilitiesOversee the financial management of the print operations, ensuring accuracy, compliance, and adherence to financial policies and procedures.Prepare and analyze financial...


  • Durban, KwaZulu-Natal, South Africa Omega HR Solutions Full time

    Financial Controller Job PositionAbout the Role:At Omega HR Solutions, we seek a highly skilled Financial Controller to join our team and drive our financial operations forward. As a key member of our leadership team, you will play a critical role in shaping our financial strategy and ensuring the accuracy and compliance of all financial transactions and...


  • Durban, South Africa Tych Business Solutions Full time

    **Job ID**: 76329**Date Posted**: Posted 4 hours ago**Location**: Durban**Job Title**: FINANCE BUSINESS PARTNER - DURBAN - KWAZULU NATAL Key performance areas - Work closely with the site Finance Managers in order to provide support, achieve and measure performance, and implement best practice. - Drive best practice and a culture of continuous improvement...

  • Senior Accounts Person

    7 months ago


    Durban, South Africa Cappop Media Solutions Full time

    Job Description: Senior Accounts Person (Print Industry) Position: Senior Accounts Person Industry: Print Department: Finance/Accounting Location: (Specify Location) Job Summary: We are seeking a highly experienced and detail-oriented Senior Accounts Person to join our finance team in the print industry. The Senior Accounts Person will be responsible for...


  • Durban, South Africa Jobted ZA C2 Full time

    Are you a finance whiz with a strategic mindset and a passion for numbers? Do you thrive in a dynamic environment where your analytical skills can drive business success? If you're ready to take the reins of a robust finance and accounting operation, we have an exciting opportunity for you at the heart of Dube Tradeport, Durban. (King Shaka Airport,...


  • Durban, South Africa Omega People Full time

    Are you a finance whiz with a strategic mindset and a passion for numbers? Do you thrive in a dynamic environment where your analytical skills can drive business success? If you're ready to take the reins of a robust finance and accounting operation, we have an exciting opportunity for you at the heart of Dube Tradeport, Durban. (King Shaka Airport,...

  • Financial Controller

    2 weeks ago


    Durban, South Africa Performability Recruitment Full time

    A diverse finance team within a creative and manufacturing environment are in need of a Finance Controller to  maintain and manage all finance and accounting operations, ensuring accurate financial reporting and analysis to support strategic decision-making. Key Responsibilities: Accounting Operations: Oversee billing, A/R, A/P, GL, reconciliations, cost...