Patient Services Manager - Hospital Group - Mafikeng, North West

Introduction

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

• Deliver on the hospital’s revenue cycle management operating plan

• Inspect work performed in the revenue cycle management team and ensure work is performed according to CHG quality standards

• Research, enable and consult on improvements and opportunities to harness technology

• Review existing processes and suggest innovative ideas to improve and streamline processes to drive efficiencies and minimise redundancy

• Ensure the development, alignment, mapping and implementation of end-to-end standard operating procedures / processes

• Ensure efficient management Reception, Admissions, Case Management and Billing Auditing departments

• Ensure revenue and collections targets are achieved by effectively 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 minimisation 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 an up-to-date register of length of stay and update the funders regularly to ensure all services rendered are paid for

• Develop and implement admissions process and protocols and ensure the adherence of all admissions staff to maintain standards

• Ensure that all files requested and utilised are in accordance with CHG standards

• Review services (together with relevant stakeholders) on SAP to ensure optimisation of billings of services

• Analyse data trends relating to rejections and short payments

• Lead and drive the accurate and business billing process to ensure Patient Services metric targets are achieved

Desired Experience & Qualification

Minimum Qualifications

• Bachelor’s Degree with Anatomy and Physiology.

• Current SANC registration

Minimum Experience

• 3-5 years’ experience in a similar role in private healthcare

• IDC and CPT coding

• Must be computer literate

Added Advantages

• Advance certification in Intermediate coding

• Degree in Nursing

Key Competencies

• Customer Centricity

• Interactive Communication

• Attention to Detail

• Partnering

• Building relationship/Establishing rapport

• Achievement Orientation

• Critical Judgement

Continuous improvement