Patient Services Manager

4 days ago

Durban, KwaZulu-Natal, South Africa Pro Recruit SA Full time

An exciting vacancy exists for a Patient Services Manager for a private healthcare group based in Soweto, reporting to Hospital Manager. 

Role Purpose:

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.

Duties & Responsibilities

  • Relevant Bachelor's degree or General Nursing Diploma
  • Registered Nurse.
  • 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.
  • Good management skills.
  • Experience in Billings and Case Management advantageous

Desired Experience & Qualification

  • 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 company's standards.

To apply submit an updated CV to

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