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LetsLink is assisting a Private Hospital based in Centurion to employ a Billings Manager.
The incumbent will be responsible for the financial risk management of the hospital, by ensuring accurate and timeous billing of all patient accounts. The incumbent will do so by managing the Case Managers, File Assessors and the Confirmations Staff. The Billings Manager will also be responsible for ensuring effective patient liaison and dispute resolution.
Key accountabilities and responsibilities:
Ensure effective patient liaison and dispute resolutionEnsuring daily, weekly and monthly tasks as per Billing Manager level of task documentMonitoring and maintenance of the DNYB and delayed weightingMonitoring and maintenance of PIP casesMonitoring and maintenance of high cost medication as per policyMonitoring and maintenance of claim rejectionsMaintain set targets as indicated on the BSCMonitoring and reporting on MHC varianceMonitoring of ADCLIN system to ensure clinical appropriatenessEnsure accuracy of ICD 10 AND CPT 4 codingAnalysis of billing errors with appropriate action plansManagement of ARS and other contracts and associated reportingEnsuring SOP’s are up to dateEffective management of cancelled casesManage results on all auditsImplement changes effectivelyMotivation of system enhancements and adaptationsManage credit control queries as per communication policyEnsure effective communication and follow through with medical aidsManage associated administrative tasksAssist with any other duties assigned by the Pharmacy Manager from time to timeAssume responsibility for own personal and professional developmentKeep up to date with the hospitals evolving policies and procedures
Skills Required:
Grade 12 or Equivalent NQF Level 4 qualifications Qualified Registered Nurse registered with SANC3-5 years experience in a similar roleAdvanced computer literacy Sound knowledge of Private Hospital Pharmacy business operations Sound knowledge of medical/healthcare billings and tariff guidelinesApplication of clinical knowledge in the risk management of patients
Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy@letslink.co.za or apply directly through this platform. To learn more, please contact Gary on +27(0)110261907
Please view our website: www.letslink.co.za
https://www.ditto.jobs/job/gumtree/3640500707?source=gumtree
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Role Description
Management of the informatics team and outputs to ensure conformance to deadlines, service level agreements and performance management. The team leader will be responsible for ensuring that the information strategy of the business and our clients are met.
Requirements
Grade 12 with MathematicsB.Sc. Computer Science/B.Com Informatics Degree/National Diploma in IT4-5 years of Database and BI development experience4-5 years SQL, SQL Server relational database development experience5 years or more experience managing business intelligenceAdvanced Excel skills4-5 years SSIS and SSRS experienceClinical risk management & data modelling experienceExcellent numeric and analytical skillsSound problem-solving skillsApplication of quality controls with all reports data sourcesAdvanced understanding and experience of business intelligenceAbility to analyze and report on dataAbility to meet tight deadlines and work well under pressureWillingness to work additional hoursProven leadership abilityAbility to work independentlyExperience in healthcare administration is preferred
Duties and Responsibilities
Internal Processes
Management of Informatics team including leadership, administration, performance management and measurements.Supervision of BI Developers, analysts and report writersUnderstanding healthcare business reporting needs to produce appropriate business intelligence (BI) models and technical deliverables.Review of reporting outcomes to guide business units on trends, interventions and narratives.Creation, maintenance and expansion of dashboards and other BI objectsExpansion and maintenance of data warehousing structures BI Database and application/systems design/architectureDesigning and developing database modelsDeveloping SQL server reporting modelsReview SQL code and ensure compliance with best practices and ensure optimal performance when released to the production environmentsData analysis for internal and external usersDevelopment of risk models to support clinical risk decision makingCompilation of scheduled report packs and presentations to support business, board of trust...
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8yNzUwMzE4NzIxP3NvdXJjZT1ndW10cmVl&jid=1519392&xid=2750318721
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