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 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)**
- Grade 12 Certificate
- 3 - 5 Years Hospital experience.
- Experience in Bill auditing
- Computer Literate and Excellent interpersonal skills and communication

**MINIMUM REQUIREMENTS ** skills.(Educational Qualifications &Experience) **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.**:

- **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**

**SKILLS will all inferences to the tariff interpretation contracts.(Practical & Technical) 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.**:

- **Professionalism and initiative**

**BEHAVIOURAL ATTRIBUTES Well-spoken and respectful**
**(Personality Characteristics) Must be able to adhere to all company rules and policies.**
- **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.**

**JMH VALUES**
**(Commitment) 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.**

**company.**

**Yours faithfully Jenny Bux**
**Group HR Manager**

Ability to commute/relocate:

- Durban, KwaZulu-Natal: Reliably commute or planning to relocate before starting work (required)



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