Patient Administrator- Paarl
2 weeks ago
The Patient Administrator will enhance patient experience, operational efficiencies and be responsible for data capturing. The administrator will be responsible for all aspects of patient administration-appointment, medical aid communication, authorisation, and general administrative tasks.
Brilliant communication skills, patient centricity and proficiency in both English and Afrikaans is essential for this role. This is a fast-paced role and the ability to perform well under pressure is a must. This team member will have an obligation to clearly communicate with patients, assist the practice in identifying financial and reputational risk at the frontline. The Patient Administrator will have a strong focus on capturing patient information accurately and concisely. This team member will be required to work with integrated systems and software across functions. GoodX proficiency is advantageous but not a requirement.
**Key Responsibilities**:
- General reception
- Maintain a well-run, professional and patient focused admission environment.
- Manage the accuracy of the admission process and the prevention of potential risk factors.
- Synergy and teamwork-working closely with the team
- Assist patients to accurately complete appropriate forms and documents for the required information.
- Compiling, quality checking and processing of daily billing.
- Ensure invoices are done as close as possible to real time processing, and with the applicable supporting documentation.
- Check if patient has any outstanding previous accounts.
- Identify financial risks pro-actively and communicate these
- Collect payments according to protocols and prepare financial registers daily, accountable for receipting functions as per policy.
- Manage the risk for the practice by adhering to all related protocols.
- Handling money and receipting according to protocol
- Collection of co-payments, private fees when applicable as well as related documentation.
- Performing general administration duties
- Ensuring submission of correct accounts to funders via platforms provided
- Manage and correct all rejected claims daily
- Assist in resolving patient complaints according to Best Practices and monitor patient satisfaction in an effort to drive action plans for improvement
- Communicate effectively with key role players in order to enhance quality management.
- Identify and rectify non-compliance with business policies and procedures.
- Capturing of notes on the system with regards to any of the above is crucial as all parties involved needs to know what was done/approved/arranged
- Provide efficient and professional telephone services
- Ensure patient confidentiality at all times in line with protocol & Poppi Act
- Ensure that the reception area is always neat and tidy.
- Assist patients with basic account queries and escalate as necessary.
- Collect all co-payments and private account balances according to policies and procedures.
**Requirements**:
- Grade 12 or equivalent NQF level 4 qualification.
- A National Diploma or Relevant NQF 6 qualification in Administration will be advantageous.
- A minimum of 2-4 years Hospital/Healthcare industry experience.
- Billing background would be beneficial.
- Basic working knowledge of ICD and CPT coding
- Knowledge of Medical Aid rules, limits and processes
- Proven track record and dedication to quality and superior customer service.
- Knowledge of Alternative Re-imbursement tariffs essential.
- Strong systems knowledge and proficiency in business processes, compliance and governance.
- Relevant computer proficiency (Microsoft Office).
- Good command of English and Afrikaans, written and oral is essential.
- Additional language skills would be advantageous
- Good verbal, written and interpersonal communication skills in English and Afrikaans.
- Ability to work well under pressure and to maintain effectiveness during changing conditions
- Ability to work effectively and co-operatively with others by establishing and maintaining good working relationships co-workers, stakeholders, clients of the company.
- Excellent planning, organising and control / up-skills are essential
- Must be customer care oriented
- Must be able to use initiative to overcome day to day operational roadblocks e.g. systems down.
- Attention to detail and accuracy
- High level of professionalism.
- High level of Logical thinking.
- Ability to meet deadlines.
- Deadline driven.
- Resilience
- Engaging diversity
- Influencing
- Drive & energy
- Excellence orientation.
- Ethical behavior and honesty.
- In 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
- Professional flexibility in working hours while supporting daily business hours.
- Will interact with internal and external stakeholders through several different means.
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