SUMMARY : POSITION INFO :
Overview
Our client in the healthcare industry is seeking a Patient Services Manager to join their team. The successful candidate will be responsible for managing and coordinating patient services resources, processes, and operations.
Minimum Requirements
- Grade 12 / Matric
- Relevant nursing qualification, preferably a degree or diploma, registered with proven case management and coding experience
- At least 5 years of relevant experience in the private healthcare industry and people management
- Current registration with the relevant professional/regulatory body
- Understanding of the private healthcare industry, its challenges, and key players (advantageous)
- Basic financial principles understanding (e.g., budgets, credit management, planning)
- Driver’s license and ability to travel
Job Responsibilities
Ensure effective quality management and customer care:
- Monitor and improve quality metrics
- Manage data integrity and ensure compliance with the company's procedures
- Develop and maintain stakeholder relationships
Ensure effective people management:
- Demonstrate visible leadership aligned with company values, operating models, and strategies to support diversity and transformation
- Lead meetings actively, ensuring participation to ensure ISO compliance
- Recruit quality staff to fill approved vacancies following transformation objectives
- Provide direction and inspiration to motivate staff
- Manage and review training plans in line with WSP requirements for talent development
- Manage staff performance through performance improvement processes
- Ensure completion of transactional processing for employee compensation and benefits
- Support productive working relationships with minimal IR issues
- Conduct exit interviews to support staff retention
- Manage staff respectfully, promoting diversity and work-life balance for employee wellness
Ensure effective and accurate billing:
- Drive accurate and timely billing to meet DSO and Shaka targets
- Manage bill auditing processes for accurate billing data
- Ensure compliance with clinical codes for accurate patient event interpretation
Interpret and apply contracts and funder rules:
- Manage admissions to ensure funder rule compliance
- Manage collection of outstanding co-payments from patients
- Reduce and manage RSRT risks, making recommendations based on patient data
Facilitate effective cash flow management:
- Implement processes from pre-admission to account submission to meet DSO targets
- Manage cash processes to prevent losses
Ensure effective operational capabilities:
- Manage and implement business plans for optimal operation
Governance and risk management:
- Ensure sound audit compliance and ethical business practices
- Participate in risk management teams to implement controls
- Support tip-off investigations
Key Competencies / Skills :
- Computer proficiency
- Problem-solving, analysis, and judgment
- Engaging diversity
- Verbal and written communication and presentation skills
- Excellence orientation
- Building relationships
- Customer responsiveness
- Organizational awareness
- Ethical behavior