PATIENT SERVICES MANAGER (HOSPITAL)

 

Recruiter:

Immploy

Job Ref:

LM

Date posted:

Wednesday, July 28, 2021

Location:

CapeTown, South Africa

Salary:

Market related + Benefits


SUMMARY:
PATIENT SERVICES MANAGER (HOSPITAL)

POSITION INFO:

My client is seeking a Patient Services Manager to be based at their hospital -  to manage and coordinate patient services resources, process  and operations to achieve the quality, growth and people objectives in order to ensure the optimization of the hospitals profitability.

Qualifications & Experience

  • Relevant clinical qualification - Nursing qualification - preferably Registered nurse (Diploma or Degree) or Enrolled Nurse with proven Case Management and Coding Experience
  • Minimum of 5 years relevant private healthcare industry and proven leadership, change and people management experience
  • Current registration with the relevant professional / regulatory body
  • Understanding of the private healthcare industry, its challenges and role players would be an advantage including an understanding of relevant and current legislation as well as the knowledge or ability to learn medical terminology, CPT/ICD coding, technical and clinical concepts and patient services business processes
  • Understanding of basic financial principles (i.e. budgets, credit management, planning)
  • Computer proficiency
  • Driver’s license and ability to travel
 
Key Responsibilities:

Ensure effective quality management and customer care:

  • Monitoring and improving quality metrics
  • Managing data integrity and compliance to company working procedures
  • Developing and maintaining relationships with stakeholders

Ensure effective people management:

  • Demonstrating visible leadership skills 
  • Actively leading meetings and ensure participation of all members in order to ensure ISO compliance
  • Ensuring quality staff members are recruited to fill approved vacancies in accordance with the company’s transformation objectives
  • Providing direction and inspiration to ensure staff are motivated and productive
  • Managing and reviewing training plans  in order to enable talent development
  • Managing the performance of staff through the performance improvement process
  • Ensuring all transactional processing is complete in order to provide employee compensation and benefits
  • Ensuring productive working relationships are supported with minimum IR issues
  • Ensuring all exit interviews are conducted in order to ensure the retention of staff
  • Managing people in a manner that respects diversity and ensures a fair work-life balance to ensure employee wellness

Ensure effective and accurate billing:

  • Driving the accurate and timeous billing process 
  • Managing the bill auditing process 
  • Ensuring compliance with the clinical code of conduct to ensure the accurate interpretation of a patient event

Ensure effective interpretation & application of contracts and funder rules:

  • Managing the admissions department to ensure that they comply with the funder rules
  • Managing the collection of outstanding co-payments from patients
  • Reducing and managing the risks regarding patient based data

Facilitating effective cash flow management:

  • Implementing processes from pre-admission to submission of an account to ensure targets are achieved
  • Implementing cash management processes to prevent losses

Ensure effective operational capabilities:

  • Managing and implementing business plans in order to ensure optimal functioning

Governance and risk management:

  • Preparing and ensuring sound audit compliances to achieve optimum business ethics
  • Participating and developing action plans within the risk management teams to appropriate the correct controls
  • Support tip-off investigations




 

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