| Date | 2024-11-01 |
|---|---|
| Job Title | File Assessor / Billing Auditor – Limpopo |
| Employer | More Information |
| Salary | |
| Category | Healthcare Nursing |
| Location |
Capricorn / Polokwane |
Job Summary
The Bill Auditor is responsible for auditing patient files to ensure completeness and accuracy of billing, while adhering to the National Hospital Network (NHN) rules and agreements with medical schemes. The role ensures that all billing processes are accurate, timely, and compliant with hospital and payer regulations. Duties will include but not be limited to: Print pro-forma invoices for allocated patient files Audit patient files according to company requirements and NHN agreements with medical schemes, including: Verifying the completeness of patient data (personal information, medical scheme details, admission and discharge dates) Reviewing eligibility tests, materials used, medications prescribed and administered Verifying surgical movements, theater minutes, prosthetics used, and equipment Ensuring Length of Stay (LOS) and Level of Care (LOC) matches medical scheme approvals Confirming the accuracy of admission types between the Hospital Information System (HIS) and patient files Document required corrections/amendments and escalate them to the Patient Administration Manager for resolution Verify corrections and process final billing on HIS after corrections are completed Perform End of Case (EOC) processes on MediKredit, investigating rejections, and resubmitting files when necessary For private patient claim files, finalize billing on HIS and forward to the Collections Department for further action Collaborate with Reception/Admissions, Case Management, Nursing, and Pharmacy staff to ensure accurate and timely final invoices Assist in minimizing delays and backlogs in the billing departmentFor paper claim files i.e. private patients (including COID and RAF patients), final bill the account on the HIS s as “paper” claim and forward patient files to the Collections Department for further management Complete, sign and file the Audit tool in the patients file Collaborate and build relationships with the with Reception/Admissions, Case Management, Nursing and Pharmacy staff to ensure that final invoices are generated without delays
Requirements:
Grade 12 or equivalent qualification Enrolled Nurse qualification Registered Nursing qualification 2 to 5 years of experience as a Bill Auditor/File Assessor, preferably in a private hospital setting Strong knowledge of National Hospital Network reimbursement models Proficiency in Hospital Information Systems (e.g., SAP or similar)
File Assessor / Billing Auditor – Limpopo position available in Capricorn, Polokwane. This job position was posted by . The job has been posted on 2024-11-01 in the Healthcare Nursing category
Click Go Apply to apply online!
You might also like to look at the available jobs in the same area.
Apply directly for this position
Some posts have contact information included with other instructions. All applicants are urged to read the instructions carefully.
We will list jobs at the bottom of each job, so feel free to scroll down and continue your search.
We do not accept any job applications and merely offer the service of daily jobs being mined and displayed on our job portal.
Each job post has a link to take you directly to the original post to apply on their website or the original website where the post came from.
Here are some more related positions
Cape Town City Centre: File Assessor / Billing Auditor – Malmesbury
The Bill Auditor is responsible for auditing patient files to ensure completeness and accuracy of billing, while adhering to the National Hospital Network (NHN) rules and agreements with medical schemes. The role ensures that all billing processes are accu
View Job
File Assessor / Billing Auditor – Malmesbury
Polokwane: File Assessor / Billing Auditor – Limpopo
The Bill Auditor is responsible for auditing patient files to ensure completeness and accuracy of billing, while adhering to the National Hospital Network (NHN) rules and agreements with medical schemes. The role ensures that all billing processes are accu
View Job
File Assessor / Billing Auditor – Limpopo
Umtata: File Assessor / Billing Auditor – Mthatha
The Bill Auditor is responsible for auditing patient files to ensure completeness and accuracy of billing, while adhering to the National Hospital Network (NHN) rules and agreements with medical schemes. The role ensures that all billing processes are accu
View Job
File Assessor / Billing Auditor – Mthatha
La Lucia: File Assessor posted by La Lucia Surgical & Medical Clinic
The File Assessor will be responsible for assessing patient files for accurate accounting with Scale of Benefits and ARS Contracts as well as assisting the Quality Review department. SKILLS PROFILE EDUCATION Grade 12 or equivalent NQF level 4 qualificatio
View Job
File Assessor
Limpopo: File Assessor / Billing Auditor – Limpopo posted by Selectone
The Bill Auditor is responsible for auditing patient files to ensure completeness and accuracy of billing, while adhering to the National Hospital Network (NHN) rules and agreements with medical schemes. The role ensures that all billing processes are accu
View Job
File Assessor / Billing Auditor – Limpopo
Western Cape: File Assessor / Billing Auditor – Malmesbury posted by Selectone
The Bill Auditor is responsible for auditing patient files to ensure completeness and accuracy of billing, while adhering to the National Hospital Network (NHN) rules and agreements with medical schemes. The role ensures that all billing processes are accu
View Job
File Assessor / Billing Auditor – Malmesbury
Eastern Cape: File Assessor / Billing Auditor – Mthatha posted by Selectone
The Bill Auditor is responsible for auditing patient files to ensure completeness and accuracy of billing, while adhering to the National Hospital Network (NHN) rules and agreements with medical schemes. The role ensures that all billing processes are accu
View Job
File Assessor / Billing Auditor – Mthatha
Email Alerts
Click the button below and submit your email to receive email alerts with the latest jobs.
This service is offered by Result Generation
We do not save your information, and your email is the only information we forward to the service.
If you wish to unsubscribe, please click here
