Billing and Accounts Manager
7 months ago
**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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