Patient Services Manager - Hospital Group - Vosloorus

Introduction

To plan, organise and execute the revenue cycle management at a hospital facility. The incumbent manages a team of specialists 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 The Hospital Group’s 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 The Hospital Group’s 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 Requirements

• Bachelor’s Degree in Nursing with Anatomy and Physiology qualifications

• Current SANC Registration

• ICD and CPT Coding

• Computer Literacy

Minimum Experience

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

• ICD 10 and CPT coding

Added Advantage

• Advanced certification in CPD and ICD coding