Healthcare Tariff & Billing Lead

Joint Medical Holdings Ltd.; Durban; On-site; ZAR 600,000 - 840,000; Full time

Job summary

JOIINT MEDIICAL HOLDIINGS PROPRIIETARY LIIMIITED seeks a Tariff File Manager and Patient Billing Analyst to lead strategic billing, revenue analysis, and reporting across the group. You will guide on medical aid rules, investigate complex billing queries, and support system improvements.

Responsibilities include tariff development, contract updates, monthly revenue reporting, and staff training. The role requires a BCom degree with 5 years in data analytics and 2–3 years in junior management,

Qualifications

• Bachelor of Commerce (BCom) degree or equivalent qualification.
• 5 years' experience in Data Analytics.
• 2-3 years' experience in a junior management role.
• Experience of working within a team and ensuring delivery targets are met on time and to budget.
• Experience in a Hospital environment preferable.
• Experience of patient administration systems would be advantageous.

Responsibilities

• Provide strategic billing, revenue analysis, and reporting support across the Group.
• Analyse efficiency reports from medical aids and investigate billing variances and cost outliers.
• Prepare review group revenue, doctor revenue, age analysis, and admission statistics.
• Develop and maintain tariff schedules for multiple healthcare facilities and funding models.
• Coordinate tariff loading, validation, and audit processes with system providers and auditors.
• Prepare monthly revenue and admission stats reports; Generate ad hoc BI reports for hospital management and pharmacy operations.
• Maintain and distribute pricing files, coding updates, and system-related reports.
• Ensure accuracy and integrity of data used in executive decision-making.
• Support and troubleshoot HMS billing and claims issues; resolve complex queries related to medical aid, Delta9, MediKredit, and case management.
• Develop and maintain SOPs; train and mentor staff; cross-train team members for business continuity.

Skills

Billing analytics

Hospital billing

Tariff structures

Revenue cycle management

Excel

Hospital management systems

Patient administration systems

Data analytics

Staff supervision

Delta9

Education

BCom or equivalent

Tools

Delta9

HMS (Hospital Management System)

ARMS

Job description

JOIINT MEDIICAL HOLDIINGS PROPRIIETARY LIIMIITED seeks a Tariff File Manager and Patient Billing Analyst to lead strategic billing, revenue analysis, and reporting across the group. You will guide on medical aid rules, investigate complex billing queries, and support system improvements.

Responsibilities include tariff development, contract updates, monthly revenue reporting, and staff training. The role requires a BCom degree with 5 years in data analytics and 2–3 years in junior management,