Senior Patient Risk Manager
1 month ago
Join Oasis Healthservices as a Senior Patient Risk Manager and take on the exciting challenge of maximizing revenue and ensuring quality outputs.
About the RoleWe are seeking a highly skilled and experienced Professional Nurse to join our team in managing the financial and clinical risks of patients in our general ward. As a Senior Patient Risk Manager, you will be responsible for ensuring accurate coding, clinical updates, and accounts submissions to achieve strategic objectives.
Key Responsibilities:- Maximize revenue by ensuring accurate coding and effective management of patient services
- Ensure compliance with LHC policies and manage authorizations, claim submissions, rejections, and delays
- Monitor and adhere to patient services policies and procedures to ensure governance and risk management
- Build and maintain relationships with internal stakeholders and provide feedback and information on concerns or issues raised
- Manage escalated concerns from Care Risk Managers with external stakeholders and escalate doctor non-compliance to RSRT meetings
To be successful in this role, you will require:
- Nursing Qualification, Professional Nurse with at least three to five years' experience
- Current SANC registration
- Knowledge of hospital patient services and case management processes
- Knowledge and understanding of CPT & ICD coding
- Knowledge of Funder contracts, scheme rules, exclusions, and benefits
In return for your skills and experience, we offer a competitive salary of R550,000 per annum, based on industry standards and location. You will also have access to ongoing training and development opportunities to help you grow in your career.
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Patient Financial Specialist
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Pretoria, Gauteng, South Africa Oasis Healthservices Full timeJob Description:The successful candidate will be responsible for managing the financial and clinical risks of the patient in a general ward by ensuring accurate coding, clinical updates, and accounts submissions of patient hospitalization to achieve strategic objectives.Critical Outputs:Ensuring the maximisation of revenue by ensuring accurate coding,...
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Clinical Risk Manager
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Clinical Risk Manager
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