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Patient Administrator

1 week ago

Worcester, Western Cape, South Africa Stethoscope SA Full time
The Patient Administrator will improve operational efficiency, optimise financial performance, and enhance patient experiences. The administrator will be responsible for all aspects of patient administration–admission, medical aid communication, authorisation, billing and general administrative tasks.

The team member will have an obligation to clearly communicate with patients, assist the hospital in identifying financial and reputational risk at the frontline (Admissions) and ensure quality admissions by safeguarding correct, accurate, complete and relevant patient data; ensure data integrity for use throughout the admission to receipt value chain and improve patient experience. The team member will further be responsible for admissions and pre-admissions of patients, handling payments of private patients; co-payments, admit and discharge patients in a professional, friendly and efficient manner, whilst creating and maintain goodwill with all Doctors and their Reception team.

The Patient Administrator will have a strong focus in the billing and stock control departments, ultimately being responsible for billing, revenue transactions, revenue processes and applying policies within the billing team. The tasks will be both financial and non-financial within the finance and billing team. The team member will be required to work with integrated systems and software across functions.

Key Work Output:

- Compiling, quality checking and processing of daily billing.
- Find resolutions to billing queries pro-actively
- Liaise with all department to ensure accurate and complete billing
- Perform month end processing
- Assist private patients by preparing the Pre-payment estimate according to hospital guideline using the approved documentation.
- Patient administration
- Maintain a well-run, professional and patient focussed admission environment.
- Assist patients to accurately complete appropriate forms and documents for the required information.
- Performing general administration duties involved in the pre-admission of patients.
- Assist in resolving patient complaints according to Best Practices and monitor patient satisfaction in an effort to drive action plans for improvement.
- Identify and rectify non-compliance with business policies and procedures.
- Provide efficient and professional telephone services

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.
- A minimum of 2-4 years' experience in the admissions processes in a private hospital environment.
- Basic working knowledge of ICD and CPT coding
- Knowledge of Medical Aid rules, limits and process
- Proven track record and dedication to quality and superior customer service
- Understanding the Trimed system and Trimed management reports.Sound knowledge of NHN & ADV Billing and Tariff guidelines.
- Knowledge of Alternative Re-imbursement tariffs
- 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. Additional language skills would be advantageous
- Ability to work well under pressure and to maintain effectiveness during changing conditions
- Excellent planning, organising and control
- 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.
- Deadline driven.
- Professional flexibility in working hours while supporting daily business hours.