Function: Credit Risk
Facility: Life Westville Hospital
Introduction:
A vacancy for a Bill Auditor has arisen at Life Westville Hospital reporting to the Patient Services Manager, Arina Coetzee incumbent will be responsible for coordinating all of the activities associated with bill auditing, as well as the filling/mailing activities.
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 bill audit toolkit 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
• Effective auditing of hospital operational processes
• Verify statistics on number of elective cases that went to PAC, analyse and report trends on rejection and on med-central short payment report, analyse and report late charges etc.
• Effective monitoring of patient services process compliance
• Analyse trends to identify deviations, report on and influence Stock Controllers & Billing Clerks through presentations and discussion in monthly RSRT meetings & bill audit reports
Requirements:
• Matric / Grade 12
• Nursing Qualification
• 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
• Attention to detail
• Attention to detail
• Problem-solving, analysis and judgement
• Verbal & written communication (including presentations)
• Influencing (negotiation)
• Professional & technical proficiency
• Planning & organising (time management)
• Drive and energy
• Excellence orientation (concern for high quality work)
• Ethical behaviour (honesty)
• Building relationships & customer responsiveness
• Organizational awareness
Deadline Date:11.02.2014
How to Apply:
Note:
- Before making application, you are requested to discuss your application with your line manager.
- Life Healthcare is an Equal Opportunity Employer.
- External candidates will also be considered.
Contact: Interested candidates who meet the requirements are invited to apply by forwarding a comprehensive CV by close of business to:
Arina Coetzee
Patient Services Manager
e-mail: arina.coetzee@lifehealthcare.co.za
Or
Fax: 0866465551
