Patient Administration Manager

Our client, a private hospital in Pretoria is seeking the services of Patuent Administration Manager. The successful incumbent should meet the following criteria:

ROLE SUMMARY:

Reporting directly to the Finance and Admin Manager, the incumbent will be responsible for managing the Patient Administration Department. He/she will ensure accurate and timeous hospital admissions, billing and collection procedures for medical aid and patients are adhered to.

REQUIREMENTS

• Grade 12 
• A 3-year qualification in Financial Administration or its equivalent will be an added advantage.
•  Registration with the Nursing Council as a Registered Nurse. 
• At least 3 years’ experience in a similar position. 
• Knowledge of different COID and Medical Aid rules and managed health care policies 
• Knowledge of case management, billing, debt collection, tariffs and tariff structures is essential. 
• Basic financial principles (e.g. budgets, credit management, business planning etc.) 
• Good Management and Supervisory skills 
• Ability to work under pressure and meet deadlines.
• Planning and analytic skills 
• Understanding of the relevant and current private healthcare legislation 
• Extensive knowledge of ICD 10 and CPT 4 coding.

 KEY OUTPUTS :

• Manage the Patient Administration Department, ensuring compliance with the medical scheme rules. 
• Manage overall performance of the Department and team members. 
• Put action plans to minimize financial risks and reduce debtors’ days. 
• Drive accurate and timeous billing process to ensure targets are met. 
• Liaise with Medical Aids.
•  Develop and maintain relationship with all stakeholders. 
• Develop Departmental Policies and standard operating procedures.
•  Drive quality service in the Department. 
• Responsible for the strategic planning of the Department. 
• Training and development of subordinates.