Patient, Case, Billing Administration Manager, Other, Pretoria / Tshwane. Company Name: Psalms23consulting. Our client, a private hospital based in Pretoria is seeking the services of a Patient Administration Manager.

The successful incumbent should be able to meet the following criteria: 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 of 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 a relationship with all stakeholders. Develop Departmental Policies and standard operating procedures.

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