Gauteng: Patient Administration Manager posted by Green Marble Recruitment Consultants
Posted on 2025-08-25 00:00:00
| Employer | Green Marble Recruitment Consultants |
|---|---|
| Category | Client Services/Sales Support |
| Location | Gauteng / Gauteng |
Job Summary
- Bachelor’s Degree or National Diploma in Health Administration, Public Health, Business Management or similar field.
- Minimum 5–7 years of experience in hospital patient administration, of which at least 3 years must be in a managerial or supervisory role in a multidisciplinary hospital environment.
- Proven experience in managing complex, multi-department hospital operations.
- In-depth understanding of hospital billing systems, ICD-10 coding, PMB regulations, and private medical
- aid processes.
- Strong knowledge of applicable legislation: POPIA, NHI framework, National Health Act, HPCSA regulations, etc.
- Case management experience or exposure to case management functions (authorisations, length-of-stay monitoring, scheme negotiations)
Responsibilities:
Leadership & Team Management
- Lead, mentor and manage the patient administration team to deliver high-quality, patient-centred service.
- Design staffing schedules and manage resources effectively across 24-hour operations to ensure uninterrupted patient administration services.
- Monitor team performance, provide coaching, and conduct performance reviews in line with HR guidelines.
Patient Administration Operations
- Oversee all administrative functions, including patient admissions (pre-admission, day of admission), transfers, discharges, and medical records management.
- Ensure timely and accurate capturing of patient data across all wards.
- Coordinate closely with clinical, nursing, finance, pharmacy, and allied departments to support seamless
- patient care and billing accuracy.
- Ensure all required documentation (e.g., consent forms, authorisations, ID copies) is collected and filed in compliance with regulatory standards.
Systems & Compliance
- Ensure optimal use of hospital information systems for accurate patient registration, billing, and record keeping.
- Ensure compliance with POPIA (Protection of Personal Information Act), National Health Act,
- Department of Health licensing requirements, and internal audit controls.
- Liaise with medical schemes, brokers, and patients to resolve queries, disputes, and authorisation issues.
Billing & Revenue Assurance
- Monitor patient accounts, pre-authorisations, and medical aid claims to ensure accuracy and timely billing.
- Work closely with the Finance Department to ensure that patient revenue is safeguarded and that discrepancies are resolved efficiently.
- Participate in tariff reviews and collaborate with the billing department to ensure updates are correctly applied in the system.
Reporting & Stakeholder Management
- Prepare and present weekly/monthly reports on admissions statistics, outstanding documentation, billing status, and compliance risks to hospital management.
- Support preparation for internal and external audits, including Department of Health inspections and medical scheme audits.
- Act as a key liaison between hospital management, funders, clinicians, and patients for any administrative escalations.
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