Job Title: Group Patient Services Manager Reports to: Chief Financial Officer Job Summary: The Group Patient Services Manager will oversee the revenue cycle across the Group, identifying opportunities to optimize billing and maximize revenue. This role is key in minimizing financial risk and ensuring compliance with policies, procedures, and contractual arrangements with medical schemes and funders. Minimum

Requirements:

Bachelors Degree in Nursing Business-Related Degree, Theatre or Critical Care Diploma 5-7 years of experience in a Patient Services Manager role ICD-10 and CPT coding experience Proven Revenue Cycle Management experience Key

Responsibilities:

Develop strategies to manage short-payments and improve cash flow. Monitor funder contracts for compliance and train staff accordingly. Oversee tariff and billing rule updates in the system. Manage CPT/ICD coding addition and system implementations. Provide ongoing support and ensure compliance Review revenue performance and identify improvement opportunities. Ensure adherence to cost controls and financial documentation standards. Manage relationships with stakeholders to optimize the revenue cycle.

Group Patient Services Manager position available in Gauteng, Johannesburg. This job position was posted by . The job has been posted on 2025-01-30 in the Healthcare Nursing category

Purpose of the role: To take responsibility for overseeing the revenue cycle value chain from a Group perspective which includes identifying improvement opportunities to optimise billing to maximise revenue. This includes the reduction of the Groups financial risk by ensuring compliance to Group policies and procedures including contractual arrangements with Medical Schemes/ funders Qualifications & Experience Required Bachelors Degree: Nursing Business-Related Degree Theatre or Critical Care Diploma 5-7 years experience as a Patient Services Manager ICD-10 and CPT coding experience Revenue Cycle Management experience Duties Develop and implement a Group Strategy on short-payment management to improve cashflow Implement funder contracts pertaining to the revenue cycle and monitor compliance Identify training needs for the revenue cycle department and provide training Ensure that new tariffs and billing rules are loaded accordingly on the approved system Ensure the monitored addition of new CPT / ICD coding onto the CHG approved system Assist in implementing relevant systems and modules at hospital levels Monitor the EDI report to ensure all queries have been resolved and all cases are End of Case Provide support to PSMs at hospital level to ensure CHG standards and targets are met Ensure compliance to Group working procedures and assist hospitals to develop hospital specific services areas Ensure PSMs at hospital level provide adequate support to hospital managers to monitor and enforce the use of mobile billing Review revenue (RPPD) and debtors days by analysing reports received from Group Finance in terms of budget v actual revenue and address improvement opportunities with hospitals In collaboration with relevant stakeholders, review services on SAP to ensure optimization of billings of service Set goals and standards for patient services managers across the group and monitor for adherence Develop and embed relevant revenue cycle management policies, processes and standards Manage relationships with internal and external stakeholders to enable optimisation of the business value chain Attend operations meetings with Funder Relations team and hospital-based PSM and provide expertise advice and give feedback as required Sponsor company initiatives and projects as it relates to the Group Finance and Group Patient Services Comply with cost controls in order to achieve section budget Ensure financial documentation is maintained to support accurate record keeping and future requirements as per legislation Escalate potential risks that may lead to increased costs or financial losses Ensure complete, timeous and accurate reporting with appropriate levels of escalation to enable effective decision making Drive adherence to statutory standards, policies and procedures within the business unit to ensure compliance at all times and take remedial action where necessary

Group Patient Services Manager position available in Gauteng, Johannesburg. This job position was posted by . The job has been posted on 2025-01-29 in the Accounting Finance category