Billings Clerk – Royal Buffalo Specialist Hospital

Business Unit: Royal Buffalo Specialist HospitalPosted: 2024-08-05, Closing: 2024-08-19Location: Eastern Cape, East LondonDescriptionA vacancy exists for a Billings Clerk reporting to the Patient Administration Manager. The successful candidate will be responsible for medical aid billing by gathering coding and transmitting patient care information to ensure maximum collection for all admissions.Critical OutputsICD 10 codes, CPT codes, all medical aid tariffs and billing rulesTimeous closure and release of discharged patient accountsMonitor receiving of discharged files and report delay trendsEnsure that what is billed (materials & services) is in accordance with the contractual arrangements with Medical SchemesAssist with final audit of all patient accounts prior to releaseMonitor release system to ensure complete submissionCheck if anaesthetic gases, theatre times, equipment and type of procedures are billedEnsure regular and effective communication with all members of the multi-disciplinary teamEnsure complete and efficient billing of all patient accounts requiring prosthesisIdentify risk areas and give feedback to ManagementRequirementsA nursing qualification preferredPrivate healthcare industry knowledge and an understanding of Medical Scheme rules and regulationsICD 10 - codingKnowledge of Hospital Information SystemComputer proficiencyCollaboration/ Relationship BuildingAnalytical thinkingProblem-solving, analysis and judgementResilienceVerbal & written communication and presentation skillsNegotiationStrategic agilityPlanningProject managementOrganisational awarenessExcellence and quality orientationEthical behaviourTechnical and professional knowledgeChange agentCoachingDecision makingOrganisingQuantitative analysisDepartmentsAdminRoyal Buffalo Specialist Hospital is an equal opportunity employer. External candidates will also be considered. Only shortlisted candidates will be contacted; should you not receive any communication after 2 weeks of the closing date, kindly consider your application as unsuccessful.
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