Medical Billing Manager

1 week ago


Johannesburg, Gauteng, South Africa St. John's Riverside Hospital Full time
Job Summary

We are seeking a highly skilled and experienced Medical Billing Manager to join our team at St. John's Riverside Hospital. The successful candidate will be responsible for supervising and coordinating the activities of medical billers and collectors, ensuring accurate and timely billing and revenue cycle management.

Key Responsibilities
  • Supervise and coordinate the activities of medical billers and collectors to obtain and record financial data for statistical records.
  • Determine work procedures, prepare work schedules, and expedite work flow.
  • Assign duties and examine work for exactness, neatness, and conformance to policies and procedures.
  • Direct and coordinate the patient accounting function to consistently produce accurate bills that are paid in a timely manner.
  • Utilize and understand the departmental computer system to realize its optimal potential and evaluate and answer staff member questions regarding the mechanics of the system.
  • Cooperate with auditors in locating various patient bills as required and maintain appropriate internal controls over cash posting and reconciliation.
  • Stay current with third-party reimbursement regulations and contractual arrangements with HMOs and other payers.
  • Maintain all required records for the department and demonstrate good organizational skills.
  • Train and supervise medical billing, cash posting, self-pay, and collections staff.
  • Adjust and refund requests to insurance companies for overpaid amounts.
  • Business office denials, payments, and adjustments reports.
  • Create billing reports as needed and respond to inquiries from patients, insurance companies, Medicare, and other parties regarding charges and/or billing activity.
  • Identify and resolve account collection problems for maximum collection results.
  • Attend meetings and participate on committees as directed.
Requirements
  • High School graduate with some college courses required. Preferred: Bachelor's degree.
  • Minimum three (3) or more years of previous hospital experience in all aspects of business office functions required.
  • Ability to read, write, and communicate effectively in English required.
  • Knowledge of MS Word, Excel, PowerPoint, Access, and Outlook required.


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