Billings Clerk

Posted: 2024-10-09, Closing: 2024-10-23

Description

A vacancy exists for a Billings Clerk (Wards) reporting to the Patient Administration Manager. The successful candidates will be responsible for medical aid billing by gathering coding and transmitting patient care information to ensure maximum collection for all admissions.

Critical Outputs

1. Application of ICD 10 codes, CPT codes, all medical aid tariffs and billing rules.
2. Daily billing on all in and outpatient accounts (LOC, equipment and stock).
3. Timeous closure and release of discharged patient accounts.
4. Monitor receiving of discharged files and report delay trends.
5. Assist with final audit of all patient accounts prior to release.
6. Monitor release system to ensure complete submission.
7. Liaise with Ward staff, Pharmacy and Theatre to obtain correct CPT codes, stock codes, equipment details, theatre time, type of procedure, anaesthetic gasses, etc.
8. Ensure regular and effective communication with all members of the multi-disciplinary team.
9. Ensure complete and efficient billing of all patient accounts requiring prosthesis.
10. Identify risk areas and give feedback to Management.

Requirements

1. A nursing qualification preferred
2. Private healthcare industry knowledge and an understanding of Medical Scheme rules and regulations
3. ICD 10 - coding
4. Knowledge of Hospital Information System
5. Computer proficiency.
6. Collaboration/ Relationship Building
7. Analytical thinking
8. Problem-solving, analysis and judgement
9. Resilience
10. Verbal & written communication and presentation skills
11. Negotiation
12. Strategic agility
13. Planning
14. Project management
15. Organisational awareness
16. Excellence and quality orientation
17. Ethical behaviour
18. Technical and professional knowledge
19. Change agent
20. Decision making
21. Organising

Departments

- Admin

Medicare Private Hospital is an equal opportunity employer. External candidates will also be considered. Only shortlisted candidates will be contacted; should you not receive any communication after 2 weeks of the closing date, kindly consider your application as unsuccessful.

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