Gauteng: Patient Services Manager – Hospital (Pretoria) posted by Express Employment Professionals Midrand

Critical Outputs:
Ensure effective quality management and customer care by:
·        Monitoring and improving quality metrics
·        Managing data integrity and compliance to working procedures
·        Developing and maintaining relationships with stakeholders
Ensure effective people management by:
·        Demonstrating visible leadership skills in respect of values, operating models and strategies in order to support diversity and transformation
·        Actively leading meetings and ensure participation of all members in order to ensure ISO compliance
·        Ensuring quality staff members are recruited to fill approved vacancies in accordance with the company’s transformation objectives
·        Providing direction and inspiration to ensure staff are motivated and productive
·        Managing and reviewing training plans that are compliant to WSP requirements in order to enable talent development
·        Managing the performance of staff through the performance improvement process
·        Ensuring all transactional processing is complete in order to provide employee compensation and benefits
·        Ensuring productive working relationships are supported with minimum IR issues
·        Ensuring all exit interviews are conducted in order to ensure the retention of staff
·        Managing people in a manner that respects diversity and ensures a fair work-life balance to ensure employee wellness
Ensure effective and accurate billing by:
·        Driving the accurate and timeous billing process to ensure DSO and Shaka targets are achieved
·        Managing the bill auditing process in order to achieve accurate billing data
·        Ensuring compliance with the clinical code of conduct to ensure the accurate interpretation of a patient event
·        Completion and passing of the Industry Healthcare ICD and CPT coding course
Ensure effective interpretation & application of contracts and funder rules by:
·        Managing the admissions department to ensure that they comply with the funder rules
·        Managing the collection of outstanding co-payments from patients
·        Reducing and managing the risk associated with RSRT’s by making recommendations regarding patient based data
·        Completion and passing of the Hospital Healthcare Contract Training toolkits
·        DRG loss analysis
Facilitating effective cash flow management by:
·        Implementing processes from pre-admission to submission of an account in order to ensure DSO targets are achieved
·        Implementing cash management processes to prevent losses
Ensure effective operational capabilities by:
·        Managing and implementing PS business plans in order to ensure optimal functioning
Governance and risk management:
·        Preparing and ensuring sound audit compliances to achieve optimum business ethics
·        Participating and developing action plans within the risk management teams to appropriate the correct controls
·        Support tip-off investigations
 
Requirements:
·        Diploma or degree in Nursing, Physiotherapy, Clinical Associates, Paramedics as Critical Care Assistants or Emergency Care Practitioners or any other qualification that covers Anatomy, Physiology, Pathophysiology and Microbiology as foundational courses OR Bachelor of Commerce (BCom) Degree (e.g. Accounting, Financial Management, Business Management or similar), with proven experience in patient services or revenue cycle management within the private healthcare environment.
·        Case Management and Coding Experience
·        Minimum of five years relevant private healthcare industry and proven leadership, change and people management experience
·        Current registration with the relevant professional / regulatory body where applicable (e.g. SANC)
·        Understanding of the private healthcare industry, its challenges and role players would be an advantage including an understanding of relevant and current legislation as well as the knowledge or ability to learn medical terminology, CPT/ICD coding, technical and clinical concepts and patient services business processes
·        Understanding of basic financial principles (i.e. budgets, credit management, planning)
·        Computer proficiency
·        Driver’s license and ability to travel
 
Competencies:
·        Problem-solving, analysis and judgement
·        Resilience
·        Engaging diversity
·        Verbal & written communication and presentation
·        Influencing
·        Drive & energy
·        Excellence orientation
·        Ethical behaviour
·        Building relationships
·        Customer responsiveness
·        Organisational awareness
·        Leading my example (Key for Managers)
·        Motivating and developing people(Key for Managers)