Billings auditor

Clinix Health Group (Pty) Ltd; Soweto; On-site; ZAR 300 000 - 400 000; Full time

Job summary

A healthcare provider in Soweto is seeking a Billings Auditor to supervise the billing process and ensure that patients are billed accurately for the services they receive. The role requires a Nursing Diploma and 2-3 years of experience in a Billings environment, alongside strong computer skills. The auditor will perform detailed audits of patient files, manage supplier invoices, and analyze reports to implement corrective actions as necessary for billing compliance.

Qualifications

• Must have a Nursing Diploma.
• Required experience of 2-3 years in a Billings environment.
• Proficient in computer literacy, with SAP as an advantage.

Responsibilities

• Oversee hospital’s billings process and ensure accuracy.
• Perform audits comparing patient services with itemized bills.
• Adhere to patient advocacy principles.
• Review and analyze reports for negative trends.
• Perform billing auditing duties as per company standards.
• Maintain supplier invoices accurately.

Skills

Advanced Computer Literacy

Nursing Diploma

Experience in Billings environment

SAP

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 standards) 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 by 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 analysing information and reports by identifying trends, discrepancies and inconsistencies for decision making.