Patient Administrator - Reception - Cape Town

The Patient Administrator will improve operational efficiency, optimise financial performance, and enhance patient experiences.

The administrator will be responsible for all aspects of patient administration - admission, medical aid communication, authorisation, billing and general administrative tasks. The team member will have an obligation to clearly communicate with patients, assist the hospital in identifying financial and reputational risk at the frontline (Admissions) and ensure quality admissions by safeguarding correct, accurate, complete and relevant patient data; ensure data integrity for use throughout the admission to receipt value chain and improve patient experience.

The team member will further be responsible for admissions and pre-admissions of patients, handling payments of private patients; co-payments, admit and discharge patients in a professional, friendly and efficient manner, whilst creating and maintaining goodwill with all Doctors and their Reception team. The Patient Administrator will have a strong focus in the billing and stock control departments, ultimately being responsible for billing, revenue transactions, revenue processes and applying policies within the billing team.

The tasks will be both financial and non-financial within the finance and billing team.

Key Work Output:

1. Compiling, quality checking and processing of daily billing
2. Find resolutions to billing queries pro-actively
3. Liaise with all departments to ensure accurate and complete billing
4. Perform month end processing
5. Assist private patients by preparing the Pre-payment estimate according to hospital guidelines using the approved documentation.
6. Collect payments according to protocols and prepare financial registers daily, accountable for receipting functions as per policy
7. Patient administration
8. Maintain a well-run, professional and patient focused admission environment
9. Assist patients to accurately complete appropriate forms and documents for the required information
10. Performing general administration duties involved in the pre-admission of patients
11. Assist in resolving patient complaints according to Best Practices and monitor patient satisfaction in an effort to drive action plans for improvement
12. Identify and rectify non-compliance with business policies and procedures
13. Provide efficient and professional telephone services

Requirements:

1. Grade 12 or equivalent NQF level 4 qualification
2. A National Diploma or Relevant NQF 6 qualification in Administration will be advantageous
3. A minimum of 2-4 years Hospital Healthcare industry experience
4. A minimum of 2-4 years working in a medical practice
5. A minimum of 2-4 years' experience in the admissions processes in a private hospital environment
6. Billing background
7. Basic working knowledge of ICD and CPT coding
8. Knowledge of Medical Aid rules, limits and process
9. Proven track record and dedication to quality and superior customer service
10. Understanding the Trimed system and Trimed management reports.
11. Sound knowledge of NHN & ADV Billing and Tariff guidelines
12. Knowledge of Alternative Re-imbursement tariffs
13. Experience working with programmes like GoodX or Elixir would be advantageous
14. Strong systems knowledge and proficiency in business processes, compliance and governance
15. Relevant computer proficiency (Microsoft Office)
16. Good command of English, written and oral.
17. Additional language skills would be advantageous
18. Ability to work well under pressure and to maintain effectiveness during changing conditions
19. Excellent planning, organising and control
20. Must be customer care oriented
21. Must be able to use initiative to overcome day to day operational roadblocks e.g. systems down
22. Attention to detail and accuracy
23. High level of professionalism
24. Deadline driven
25. Professional flexibility in working hours while supporting daily business hours
26. Great interpersonal skills
27. Own transportation
28. Ability to prioritise