admin manager

2 days ago

Northern Suburbs Western Cape, South Africa Melomed Private Hospitals SA Full time
  • Manage the Admin Department and processes with regards to non-releases
  • Manage the Credit Control queries
  • Manage Case Manager updates and escalations for Medical Aids
  • Ensure accurate ICD 10 and CPT Coding
  • Analysis of Billing errors
  • Managing Fixed Fee Contracts with Medical Aids
  • Management of staff
  • Daily and Monthly reporting to Hospital Manager and Head Office regarding Admin stats
  • Month end finalisation of files
  • Private patients' quotations, Financial Risk Management and daily banking

  • Auditing of Hospital folder greater than 10K

  • Auditing coding on claims and checking if co-morbidities have been captured

  • Auditing of clinical data submitted to the Medical funder / aid / institute
  • Ensuring that the high cost medication process has been followed
  • Responsible for the security and accuracy of the patient records
  • Liaise with the relevant stakeholders regarding claims, billings etc. and ensure that all claims / queries have been actioned by the relevant staff members within the Department
  • Oversee and streamline the billing processes
  • Plan and implement quality assurance for all billing and case management processes
  • Conduct routine staff meetings regarding billing planning and implementations
  • Assist in standardising the methods in which work will be accomplished
  • Ensure that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol and follow Melomed healthcare regulations, guidelines and requirements, review departmental procedures and evaluate the effectiveness of personnel
  • Understand and remain updated with current coding and billing regulations, compliance requirements and scheme rules changes / requirements
  • Provide, oversee, and/or coordinate the provision of training for new and existing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques
  • Checking of daily reports
  • Ward report – ensure all patients are allocated to a Case Manager and updated accordingly
  • Non–Release - ensure all discharge folders are received
  • Medikredit Control Panel - ensure all claims are accurate and submitted accordingly
  • Checking daily Theatre slates
  • Follow up on daily, weekly and monthly queries

  • Assist staff members with escalation of claims, queries, billings and LOM requests

  • Grade 12

  • An applicable tertiary qualification will be an advantage
  • A minimum 3 – 5 years Management or Supervisory experience
  • Knowledge of ICD 10 and CPT Coding
  • Knowledge of Medical Aid Rules and Fixed Fee Contracts with Funders
  • In depth knowledge and understanding of Private Hospital Billings guidelines
  • General accounting knowledge and financial skills
  • Ability to work well under pressure and function independently
  • Excellent computer skills

  • Creditors Clerk

    2 weeks ago

    Northern Suburbs, South Africa Cape Garden Full time

    **Creditors Clerk / Admin** **Full Job Description** The Head Office department require young, dedicated, attentive to detail and organized individual to join their team. This position requires an efficient individual who can work in a fast-paced environment and is able to meet deadlines and be open to learning new skills in other departments as well....

  • Creditors Clerk

    2 weeks ago

    Northern Suburbs, South Africa Cape Garden Full time

    **Creditors Clerk / Admin** **Full Job Description** The Head Office department require a young, dedicated, attentive to detail and organized individual to join their team. This position requires an efficient individual who can work in a fast-paced environment and is able to meet deadlines and be open to learning new skills in other departments as well....

  • Admin Manager

    4 days ago

    Northern Suburbs, South Africa Kayur Investments Full time

    **Minimum Requirements**: - Matric (Grade 12) - Bachelor of Commerce (B Comm) Degree - Minimum of 5 years' relevant experience in a financial environment **Job Purpose**: **Key Responsibilities**: **1. Financial Department Oversight**: - Supervise daily financial tasks (data capturing, debt recovery, cheque and cash expense control) - Evaluate and verify...

  • Pa Manager for CEO

    1 week ago

    Northern Suburbs, South Africa Bridgena Barnard Personnel Group Full time

    Western Cape, CPT - Northern Suburbs - R 50000 - R 67000 Monthly Basic Salary (Market related, Negotiable) N/Subs R50 - R60 000 pm Well known brand requires the expertise of an experience PA to manage all activities surrounding the CEO N/Subs R50 - R60 000 pm Well known brand requires the expertise of an experience PA to manage all activities surrounding...

  • Store Manager

    1 week ago

    Northern Suburbs, South Africa Crazy Store Full time

    Region: Kuilsrivier Northern Suburbs ,Western Cape Department: Operations Type: Full Time Overall Job Purpose: You will manage the overall store standards, staff performance and resolve customer queries. You will report directly to the Area Manager. Job Specification We need a self-motivated individual to fill this vacancy as a** Store Manager** at...

  • Admin Clerk

    4 days ago

    Cape Winelands, Western Cape, South Africa NDC Personnel & Contractors Full time

    Join a **manufacturing** team as an **Admin Clerk** in **Paarl!** NDC Personnel & Contractors is excited to present an amazing career entry opportunity tailor-made for an admin and data clerk who brings organisation and dedication to the team! We’re looking for an **Admin Clerk** who has passed **Grade 12** and is **computer literate. **Excellent written...

  • F&i Business Manager

    17 hours ago

    Northern Suburbs, South Africa GAP Consulting Full time

    Western Cape, CPT - Northern Suburbs - Motor Retail - Admin Dept - Market Related | Negotiable - Job ref: FNI000358/MCVV - Vacancy type: Permanent SHIFTINTOHIGHCAREER by joining a Dealership that seeks the expertise of a Finance and Insurance Business Manager **Minimum Requirements** - Minimum 3 Years’ Experience in a similar role with a proven Track...

  • Sales and Admin

    4 days ago

    Western Cape, South Africa Peninsula Drums CC Full time

    A Manufacturing Company in Phillipi Industria is looking for a Sales and Admin person to join the team as the company is expanding. - Receiving and processing purchase orders - Issuing sales transaction invoices - Verifying orders, including customers' personal information and payment details - Maintaining and updating sales and customer records - Checking...

  • Permanent Relief F

    3 days ago

    Northern Suburbs, South Africa GAP Consulting Full time

    Western Cape, CPT - Northern Suburbs - Motor Retail - Admin Dept - R 12 000 - R 30 000 - Job ref: WP012238/JB - Vacancy type: Permanent SHIFTINTOHIGHCAREER to an established and highly successful Franchised Dealership Group who requires the services of a Permanent Relief Finance and Insurance Business Manager **Minimum Requirements** - Must be able to...

  • Junior Sheq Officer

    1 week ago

    Northern Suburbs, South Africa Bridgena Barnard Personnel Group Full time

    Western Cape, CPT - Northern Suburbs - R 15000 - R 25000 Monthly Basic Salary (Market related, Negotiable) JUNIOR SHEQ Officer position for a Company in Bellville. You will handle admin and training in this discipline and manage info pertaining SHEQ on a system as required and enforced by legislation and SOP's JUNIOR SHEQ Officer position for a Company in...