Billing Operations Cluster BOC File Assessor

We provide meaningful careers that connect people with purpose.

We are united by a common purpose of providing the best and safest care; and by our shared values of Care, Truth, Participation, Compassion and Dignity.

Netcare invites you to be part of our journey.

KEY WORK OUTPUT AND ACCOUNTABILITIES
DISRUPTIVE INNOVATION
File assessing

• Assessing of actual accommodation, level of care and length of stay of patients.

• Assessing of theatre events for time, theatre type and equipment.

• Assessment of services to ensure that all surgicals, ethicals, direct buy outs (DBOs), gases are billed on account as per actual use.

• Assessing of long-term patient accounts for interim billing to identify SAP billing error messages.

• All final assessing needs to happen electronically on the provided systems.

• Following up on DNYB delay reasons.

• Utilization of billing tools (BOS, Billing Estimation, Billing Mapping etc.) to decrease errors before submitting a final billed account to the funder.

• Apply knowledge of ARM agreements to reduce billings errors. Be vigilant how the rules are applied by the system.
General

• Any other duties assigned by the Billings Manager from time to time.
E-queries

• Study rejection trends and proactively apply knowledge to prevent short payments and rejections.
Final gatekeeper

• Limit reputational risk due to under- or over billing .

• File assessor as final gatekeepers on the quality of our accounts must exercise judgement to prevent premature final billing of inaccurate accounts.

TRANSFORMATION OF OUR SOCIETY
Personal and professional development

• Assume responsibility for own personal and professional development, including completion of Insight Training.

• Keep up to date with Netcare's evolving policies and procedures.

SKILLS PROFILE
EDUCATION
Required

• Grade 12 or equivalent NQF Level 4 Qualification

WORK EXPERIENCE
Required

• Experience in a healthcare setting.

• Experience with any clinical or healthcare related billing systems.

KNOWLEDGE
Required

• Computer literate

PHYSICAL REQUIREMENTS
In the event of any physical or psychological limitation that may impair the employee's ability to perform the required job function, the employee must consult the employer for reasonable accommodation.

VALUES AND BEHAVIOURS
Netcare Values
At Netcare, our core value is care. We care about the dignity of our patients and all members of the Netcare family. We care about the participation of our people and our partners in everything we do. We care about truth in all our actions. We are compassionate about quality care and professional excellence.

• Care - The basis of our business. The professional, ethical patient care and services we offer at every level of the organisation.

• Truth - The crucial element in building relationships that work. Open communication with honesty and integrity is essential.

• Dignity - An acknowledgement of the uniqueness of individuals. A commitment to care with the qualities of respect and understanding.

• Compassion - The creative, compassionate and innovative drive to do things better than before. To develop and implement successful healthcare solutions for all.

• Participation - The willingness and desire to work in productive and creative partnerships with others and the commitment to communicate.

The Netcare Way
Netcare is committed to providing quality care. Our basic service standard holds us accountable for the below seven behaviours which you will be accountable to uphold:

• I always greet everyone to show my respect.

• I always wear my name badge to show my identity.

• I always treat others with consideration and humility to uphold dignity

• I always act in the best interest of Netcare and others to show I care.

• I always listen with empathy and respond with kind action to show my compassion

• I always say thank you to show my appreciation.

• I always embrace diversity to strengthen inclusivity and belonging.

SKILLS
Customer Focus and Service Delivery
The capacity to identify and respond to the needs of *internal and external customers.
Personal Work Ethic
Capacity to instil an ethic of quality and consistency in self and others.
Building Relationships
Capacity to establish constructive and effective relationships.
Communication
The capacity to clearly present information, either written or verbal.
Teamwork
Capacity to cooperate with others to work towards a common goal.
Technical Knowledge
The capacity to perform a technical function to required standards.
WORKING CONDITIONS

• Professional flexibility in working hours while supporting daily business operations which may include weekends and night shifts where applicable.

• Will interact with internal and external customers through several different means.

Join the team that providing the best and safest
care.