Sandton: Patient Services Manager posted by Clinix Health Group Ltd

Company description: The Clinix Health Group helps communities to live longer healthier lives through the provision of quality and affordable healthcare. The group provide integrated world-class healthcare systems both internally and externally to the broader ecosystem to become a trusted local citizen. Job Title : Patient Services Manager Location : Clinix Health Group Hospital/s Reports to : Group Patient Services Manager JOB SUMMARY To plan, organize and execute the revenue cycle management at a hospital facility. The incumbent manages a team of specialist that contribute to hospital finances through accurate billing and risk mitigation processes. REQUIREMENTS Minimum Qualifications: Registered Nurse with a Bachelor`s degree/ Relevant Bachelor’s degree. Intermediate or Advanced CPT and ICD-10 clinical coding. Minimum Experience: 3-5 years experience in a similar role in private healthcare. Must demonstrate exceptional communication skills along with excellent customer service skills. Vast Experience in Billings and Case Management . Working knowledge in Operating Theatre and ICU. Hospital Operations Clinical coding standards and protocols Revenue cycle management (Patient administration) KEY COMPETENCIES: Must be computer literate Good management skills Conflict management skills Knowledge of private health care operations Building relationship / Establishing rapport Critical judgement Continuous improvement DELIVERABLES Ensure efficient management Reception, Admissions, Case Management and Billing Auditing departments. Monitor and ensure WIP (Work-in-Progress) is within the agreed upon periods. Ensure overall rejections are within the acceptable threshold. Review, audit and sign off on all consignments to ensure accuracy of billing and minimization capital loss. Conduct daily EOC (End of Case) reconciliation to ensure billings are done within the allotted timeframes per funder standards. Ensure case managers Maintain up-to-date register of length of stay and update the funders regularly to ensure all services rendered are paid. Lead and drive the accurate and business billing process to ensure Patient Services metric targets are achieved. Analyse data trends relating to rejections and short payments. Inspect work performed in the revenue cycle management team and ensure work is performed according to CHG quality standards Review existing processes and suggest innovative ideas to improve and streamline processes to drive efficiencies and minimise redundancy Ensure the development, alignment, mapping and implementation of end-to-end standard operating procedures / processes Investigate and understand Funder, Doctors, Nurses and Patient needs to enable delivery of a quality service Maintain accurate records of patient care and timeously submit to funders to ensure the organisation is appropriately reimbursed for all services rendered Adhere to statutory standards, policies and procedures within the business unit to ensure compliance at all times and take remedial action where necessary