Patient Services Manager

3 days ago


Soweto, South Africa Clinix Health Group (Pty) Ltd Full time

To plan, organize and execute the revenue cycle management at a hospital facility. The incumbent manages a team of specialist that contribute to hospital finances through accurate billing and risk mitigation processes.

**Minimum Qualifications and Experience**:

- Nursing Degree/Diploma.
- Current SANC registration.
- 3-5 years’ experience in a similar role in private healthcare.
- Must demonstrate exceptional communication skills along with excellent customer service skills.
- Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure.
- Must be computer literate.

**Minimum Job Requirements**:

- Ensure efficient management Reception, Admissions, Case Management and Billing Auditing departments.
- Ensure revenue and collection targets are achieved effectively by the department.
- Monitor and ensure WIP (Work-in-Progress) is within the agreed upon periods.
- Ensure overall rejections are within the acceptable threshold.
- Review, audit and sign off on all consignments to ensure accuracy of billing and minimization capital loss.
- Conduct daily EOC (End of Case) reconciliation to ensure billings are done within the allotted timeframes per funder standards.
- Ensure case managers follow proper coding protocols to reduce rejection rates.
- Ensure case managers Maintain up-to-date register of length of stay and update the funders regularly to ensure all services rendered are paid.
- Lead and drive the accurate and business billing process to ensure Patient Services metric targets are achieved.
- Analyse data trends relating to rejections and short payments.
- Ensure all files requested and utilized are in accordance with CHG standards.


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