Billings auditor

Clinix Health Group (Pty) Ltd; Gauteng; On-site; ZAR 300 000 - 500 000; Full time

Job summary

An established industry player is seeking a detail-oriented Billings Auditor to manage and oversee the billing processes at a leading private hospital. This role involves performing thorough audits of patient files to ensure the accuracy of bills in line with company standards and contractual agreements with medical schemes. The successful candidate will play a crucial role in identifying discrepancies and trends, ensuring compliance with billing requirements, and advocating for patient rights. If you are passionate about healthcare and possess strong analytical skills, this is an exciting opportunity to make a significant impact in a dynamic environment.

Qualifications

• 2-3 years’ experience in a Billings environment is required.
• Must have a Nursing Diploma and advanced computer literacy.

Responsibilities

• Oversee the hospital’s billings process and ensure accuracy.
• Audit patient files and maintain supplier invoices accurately.

Skills

Billings Auditing

Patient Advocacy

Report Analysis

Advanced Computer Literacy

Education

Nursing Diploma

Tools

SAP

Job description

Job Title: Billings Auditor

Location: Clinix Tshepo Themba Private Hospital

Reports to: Patient Services Manager

Job Summary:

To oversee the hospital’s billings process and ensure products and services received by patients aligns with the final bill. Perform accurate audits of patient files, comparing the products and services received with the itemized bill in the context of the Company’s billing requirements and contractual arrangements with Medical Schemes.

Minimum Qualifications and Experience:

• Nursing Diploma
• 2-3 years’ experience in Billings environment
• Advanced Computer Literacy
• SAP will be an advantage.

Minimum Duties:

• Perform Billings Auditing duties in accordance with the Clinix Health Groups standard and procedure.
• Adhere to the principles and standards of patient advocacy according to the Clinix Health Groups.
• Review and analyze reports as a management tool, to identify negative trends and implement corrective action.
• Audit patient files as per Company requirements and in accordance with the Company contracts with Medical Schemes.
• Perform End of Case on the approved system.
• Ensure the accurate maintenance of supplier invoices.
• Efficient management of Billing processes specific to private patients, final bill invoices on the SAP system as ‘paper’ claim and forward patient files to the collections department for further management.
• Adhere to reporting standards by analyzing information and reports, identifying trends, discrepancies, and inconsistencies for decision making.