Patient Services Manager

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

Job summary

A healthcare organization in South Africa seeks a Revenue Cycle Manager to oversee financial operations at a hospital facility. This role involves planning, executing, and managing teams focused on billing accuracy, revenue generation, and compliance with healthcare standards. Candidates should have a relevant Bachelor’s degree, be a registered nurse, and have 3-5 years of experience in private healthcare management. Exceptional communication and customer service skills are essential.

Qualifications

• 3-5 years’ experience in a similar role in private healthcare.
• Experience in Billings and Case Management advantageous.

Responsibilities

• Ensure efficient management of Reception, Admissions, Case Management and Billing Auditing departments.
• Ensure revenue and collection targets are achieved effectively by the department.
• Monitor and ensure WIP (Work-in-Progress) is within the agreed upon periods.
• Conduct daily EOC (End of Case) reconciliation to ensure billings are done within the allotted timeframes.

Skills

Exceptional communication skills

Customer service skills

Management skills

Computer literacy

Education

Relevant Bachelor's degree

Registered Nurse

Job description

To plan, organize and execute the revenue cycle management at a hospital facility. The incumbent manages a team of specialist that contribute to hospital finances through accurate billing and risk mitigation processes.

Minimum Qualifications and Experience:

• Relevant Bachelor's degree.
• Registered Nurse.
• 3-5 years’ experience in a similar role in private healthcare.
• Must demonstrate exceptional communication skills along with excellent customer service skills.
• Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure.
• Must be computer literate.
• Good management skills.
• Experience in Billings and Case Management advantageous.

Minimum Job Requirements:

• Ensure efficient management Reception, Admissions, Case Management and Billing Auditing departments.
• Ensure revenue and collection targets are achieved effectively by the department.
• Monitor and ensure WIP (Work-in-Progress) is within the agreed upon periods.
• Ensure overall rejections are within the acceptable threshold.
• Review, audit and sign off on all consignments to ensure accuracy of billing and minimization capital loss.
• Conduct daily EOC (End of Case) reconciliation to ensure billings are done within the allotted timeframes per funder standards.
• Ensure case managers follow proper coding protocols to reduce rejection rates.
• Ensure case managers Maintain up-to-date register of length of stay and update the funders regularly to ensure all services rendered are paid.
• Lead and drive the accurate and business billing process to ensure Patient Services metric targets are achieved.
• Analyse data trends relating to rejections and short payments.
• Ensure all files requested and utilized are in accordance with CHG standards.