Health Care jobs in South Africa

ResponsibilitiesManage the Admin Department and processes with regards to non-releasesManage the Credit Control queriesManage Case Manager updates and escalations for Medical AidsEnsure accurate ICD 10 and CPT CodingAnalysis of Billing errorsManaging Fixed Fee Contracts with Medical AidsManagement of staffDaily and Monthly reporting to Hospital Manager and Head Office regarding Admin statsMonth end finalisation of filesPrivate patients' quotations, Financial Risk Management and daily bankingAuditing of Hospital folder greater than 10KAuditing coding on claims and checking if co-morbidities have been capturedAuditing of clinical data submitted to the Medical funder / aid / instituteEnsuring that the high cost medication process has been followedResponsible for the security and accuracy of the patient recordsLiaise with the relevant stakeholders regarding claims, billings etc. and ensure that all claims / queries have been actioned by the relevant staff members within the DepartmentOversee and streamline the billing processesPlan and implement quality assurance for all billing and case management processesConduct routine staff meetings regarding billing planning and implementationsAssist in standardising the methods in which work will be accomplishedEnsure that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol and follow Melomed healthcare regulations, guidelines and requirements, review departmental procedures and evaluate the effectiveness of personnelUnderstand and remain updated with current coding and billing regulations, compliance requirements and scheme rules changes / requirementsProvide, oversee, or coordinate the provision of training for new and existing staff on applicable operating policies, protocols, systems and procedures, standards, and techniquesChecking of daily reportsWard report – ensure all patients are allocated to a Case Manager and updated accordinglyNon–Release - ensure all discharge folders are receivedMedikredit Control Panel - ensure all claims are accurate and submitted accordinglyChecking daily Theatre slatesFollow up on daily, weekly and monthly queriesAssist staff members with escalation of claims, queries, billings and LOM requests