BILL AUDITOR

at Joint Medical Holdings
Location Durban, South Africa
Date Posted September 8, 2022
Category Audit
Job Type Full-time
Currency ZAR

Description

  • The incumbent will be responsible for the accessing of patient files for accurate billing within scale of benefits and contractual commitments for submission to medical aids for payment.
  • Inspect, correct, and verify all business accounts and processes.

Duties & Responsibilities

  • The provision of an efficient, effective, and acceptable information, advisory and helping service to customers (patients, visitors, doctors, nursing staff and other health professionals)
  • Manage the provision of accurate information to customers.
  • Perform and document internal audit of hospital billing processes and controls.
  • Identify and action all corrective measures on all accounts and benchmark against Group targets.
  • Ensure compliance with our audit process.
  • Draw up reports with regards to the accuracy of coding, and ensure it reflects the accurate diagnosis as well as losses.
  • Manage accuracy and integrity of data.
  • Manage efficiencies around the billing processes.

Desired Experience & Qualification

  • Grade 12 Certificate
  • 3 – 5 Years Hospital experience.
  • Experience in Bill auditing
  • Computer Literate and Excellent interpersonal skills and communication skills.
  • Must be able to work under pressure and decision making.
  • Experience with Medical Aids and Pre-Authorizations.
  • Background knowledge of Basic ICD and CPT codes as well as Medical experience will be of the added value.
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