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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