Vacancies

Bill Auditor

Function
Patient services
Facility
Life Peglerae Hospital
Position
Bill Auditor
Introduction

A vacancy exits at Life Peglerae Hospital for the position of a Bill Auditor, reporting to the Patient Services Manager, Suzette van Rensburg.

Critical Outputs
  • Effective delivery of quality customer care
    • Evaluate data accuracy to identify deviations and make recommendations for corrective action, implement and monitor same
    • Analyse data trends relating to rejections and short payments etc.
    • Develop and maintain sound relationships with internal customers to achieve co-operation and compliance with audit processes
    • Compile and maintain a bill audit file containing copies of documentation as per LHC protocols
  • Effective auditing of patient documentation
    • Audit pre-set number of files according to Life standards, in order to achieve monthly target
    • Complete a bill audit template on each file audited
    • Complete the relevant Toolkits and any updates where required
    • Complete, successfully, the LHC coding course and achieve a set pass rate
    • Analyse results and make recommendations
    • Compile and submit a monthly bill audit report, report in relevant meetings
  • Effective auditing of hospital operational processes
    • Retrospective clinical auditing of claims and rejected accounts and active engagement with funders
    • Equipment invoicing auditing
    • Expedite the cash flow management
    • Redirect workflow to a single responsible party to manage the funder rejections and relieve case management effort
    • Refocus on formulary compliance and trends analysis on increased benefit limitations and protocols
  • Effective monitoring of patient services process compliance
    • Analyse trends to identify deviations, report on and influence Stock Controllers & Billing Clerks through presentations and discussions and training in monthly RSRT meetings & bill audit reports
Requirements
  • Nursing Qualification
  • Grade 12
  • Specialized units Nursing experience
  • Knowledge of the iMeds / Impilo system will be beneficial
  • Knowledge of hospital patient services and billing processes
  • Knowledge and understanding of CPT & ICD coding
  • Knowledge of Funder contracts, scheme rules, exclusions and benefits
  • Knowledge or clear understanding of hospital industry and practices
  • Computer proficiency
Competencies
  • Attention to detail
  • Problem-solving, analysis and judgement
  • Verbal & written communication
  • Influencing
  • Professional & technical proficiency
  • Planning & organizing
  • Drive and energy
  • Excellence orientation
  • Ethical behavior
  • Building relationships & customer responsiveness
  • Organizational awareness
Contact

Suzette van Rensburg

Fax
086 501 0340
Email
suzette.vanrensburg@lifehealthcare.co.za
Closing date
Tuesday, February 18, 2020

Internal applicants - Before making an application, you are requested to discuss your application with your line manager. Only short listed candidates will be contacted. Should you not receive any communication after 2 weeks of closing date, kindly consider your application as unsuccessful.

External candidates will also be considered.

Explore our vacancies and find the right opportunity for you. Download the application form and email to the relevant contact person specified in the job advertisement.

Life Healthcare is an equal opportunity employer.


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