Billings Supervisor (Hospital)

Requirements:

• Grade 12
• A Tertiary Qualification in Business Management would be advantageous
• At least 3 years’ experience in managing a Billings team
• Previous experience working in a multidisciplinary private healthcare environment
• Strong financial knowledge and the ability to interpret financial data
• Certificate in ICD and CPT Coding
• Sound knowledge and experience working with ICD and CPT codes
• Knowledge and understanding of the Private Hospital Billings guidelines is essential
• Knowledge of applicable statutory acts such as POPIA and Consumer Protection Act
• Understanding of Medical Aid Scheme rules is essential
• Excellent communication skills
• Proficiency in Computer literacy essential
• Leadership and interpersonal skills
• Attention to detail and excellent organisational skills

Key Outputs:

• Manage the financial risk and working capital management of the hospital by ensuring accurate and timeous billing of patient records within 3 days
• Supervision and leadership of the Billings Department
• Daily monitoring and maintenance of the Non-Release Report to ensure the target of final billing within 3 days
• Monitoring and managing of In Patients Report for long stay patients, private patients, Insured Patients for any associated risks and ensuring that all tariff charges are up to date and accurate
• Monitoring and reporting of Fixed Fees and Managed Health Care Variances
• Analysis of Billing errors and quality improvement plans
• Effective management of cancelled and reversed cases
• Preparation of Estimates for Private Patients
• Accurate resolution of short payment queries from Credit Control
• Attend to patient queries
• Compile and submit daily, weekly and monthly reports
• Adherence to deadlines
• Liaison with patients, Funders and treating clinicians
• Administrative tasks as assigned by Management
• Maintain and sustain effective working relationships with internal and external customers
• Implement strategic goals and objectives
• Manage and evaluate the Billings team’s performance
• Training, motivation, development and evaluation of the Billings team
• Keep abreast of Funder requirements, rules and regulations
• Responsible for effective change & conflict management
• Responsible for identifying inefficiencies and sustainable corrective action plans