Billing and Accounts Manager

7 months ago


Cape Town, South Africa Immploy Recruitment Full time

**Role Summary**:
The Billings and Accounts Manager will be responsible for the overall management of the Billings team and work in collaboration with Case Management, Nursing, Pharmacy and Credit Control teams. The incumbent will fulfil his/her role by ensuring accurate and timeous billing of records within 3 days, within agreed upon frameworks, policies and guidelines

**Key Outputs**:
Manage the financial risk and working capital management of the hospital by ensuring accurate and timeous billing of patient records within 3 days

Supervision and leadership of the Billings Department

Daily monitoring and maintenance of the Non-Release Report to ensure the target of final billing within 3 days

Monitoring and managing of In Patients Report for long stay patients, private patients, Insured Patients for any associated risks and ensuring that all tariff charges are up to date and accurate

Monitoring and reporting of Fixed Fees and Managed Health Care Variances

Analysis of Billing errors and quality improvement plans

Effective management of cancelled and reversed cases

Preparation of Estimates for Private Patients

Accurate resolution of short payment queries from Credit Control

Attend to patient queries

Compile and submit daily, weekly and monthly reports

Adherence to deadlines

Liaison with patients, Funders and treating clinicians

Administrative tasks as assigned by Management

Maintain and sustain effective working relationships with internal and external customers

Implement strategic goals and objectives

Manage and evaluate the Billings team’s performance

Training, motivation, development and evaluation of the Billings team

Keep abreast of Funder requirements, rules and regulations

Responsible for effective change & conflict management

Responsible for identifying inefficiencies and sustainable corrective action plans

**Requirements**:
Grade 12

A Tertiary Qualification in Business Management would be advantageous

At least 3 years’ experience in managing a Billings team

Previous experience working in a multidisciplinary private healthcare environment

Strong financial knowledge and the ability to interpret financial data

Certificate in ICD and CPT Coding

A sound understanding of Alternative Reimbursement Models

Sound knowledge and experience working with ICD and CPT codes

Knowledge and understanding of the Private Hospital Billings guidelines is essential

Knowledge of applicable statutory acts such as POPIA and Consumer Protection Act

Understanding of Medical Aid Scheme rules is essential

Excellent communication skills

Proficiency in Computer literacy essential

Leadership and interpersonal skills - Attention to detail and excellent organisational skills

Between 1 - 3 Years


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