Operations and Retention Manager

2 weeks ago

KwazuluNatal, South Africa Hi-Tech Recruitment Full time

**KwaZulu Natal**, KwaZulu Natal**

**Monthly Basic Salary (Market related)**

Operations & Retentions Manager (Medical & Claims)
A leadership team that values autonomy

In this pivotal role, you will spearhead the claims administration department, working collaboratively with fellow line managers and the business line executive. Your mandate is to champion the ongoing enhancement of operational efficiency, contributing significantly to the evolution of a more agile and streamlined Bureau.

**Qualifications & Experience**
- Tertiary education, preferably in an associated field (e.g. Business Administration, Healthcare Management, B.Comm or similar)
- A minimum of 3 years experience in a similar medical administrative management role in a business-to-business (B2B) context, within the healthcare sector
- Brings a minimum of 5 years of extensive coding experience in the medical billing industry, showcasing a comprehensive understanding of coding practices and industry standards.
- Recent hands-on experience in effectively managing and leading a team of more than 20 individuals, demonstrating strong leadership skills, fostering a positive team culture, and achieving organisational objectives
- A proven track record of navigating and optimising financial processes within the healthcare industry, with a keen eye for detail and compliance with financial standards and regulations.
- Proven collaboration with technology/software teams, clear problem articulation, and adeptness in testing and integrating software solutions and new features into existing workflows.

**Knowledge and Skills**
- Possesses outstanding expertise in ICD-10 coding and an excellent understanding of SAMA (South African Medical Association) and CMS (Centers for Medicare & Medicaid Services) rules
- Possesses an excellent medical background, showcasing proficiency in medical terminology and a comprehensive understanding of human anatomy.
- Full understanding of the processes, procedures, and systems used in the execution of credit control, with a focus on maximising clients' cash flow and minimising bad debt.

**As Specialist Recruiters for professionals in your industry, we are well geared to represent your best career interests. Whether you are an active job seeker or just browsing, let’s have a no stress conversation about your next career move It’s always good to have a great recruiter looking out for you**
- For more information please contact:
**Karen Joubert

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