File Assessor Job at Netcare in Gauteng

Job Title: File Assessor
Job Location: Netcare Gauteng South West Region
Reporting structure
Billings Manager


ROLE SUMMARY
•The File Assessor will be responsible for assessing patient files for accurate accounting with
Scale of Benefits and ARS Contracts as well as assisting the Quality Review department.

KEY WORK OUTPUT AND ACCOUNTABILITIES
Administration :
•Assessment of patient files to ensure that all surgical, ethical, gases and equipment are recorded on account as per actual use
•Assessing of accommodation
•Final authorization of accounts
•Effective ICD and CPT Coding of patient accounts
•Application of ARS contracts
•Manage associated administrative tasks
•Any other duties assigned by the Billings Manager from time to time Personal and professional development:
•Assume responsibility for own personal and professional development
•Keep up to date with Netcare’s evolving policies and procedures

SKILLS PROFILE EDUCATION
•Grade 12 or equivalent NQF Level 4 Qualification

WORK EXPERIENCE
•Minimum of 3 years experience using Scale of Benefits and ARS contracts
•Private Hospital experience
•Preference will be given to Enrolled Nurses or Registered Nurses

KNOWLEDGE
•Computer literate
•Knowledge of managed healthcare principles

SKILLS
For managerial and non managerial positions, plea
se select a minimum of 5 competencies from the list below. Those marked with an
* are most relevant for managers particularly where the manager has a direct report, however, the competencies can also be applicable to specialist positions.
Taking Action
Capable of recognizing the need for action, considering possible
risks and taking responsibility for results.
Decision Making
Capable of making decisions timeously and taking responsibility for the consequences.
Managing Self
Capacity to plan, organise and control own work environment by setting appropriate priorities and achieving set objectives within a given time frame.
Customer Focus and Service Delivery
The capacity to identify and respond to the needs of *internal and external customers.
*Internal and external customers include patients, doctors, colleagues, suppliers, visitors, vendors and any other person that requires a relationship
Adapting and Responding to Change
Capable of supporting and advocating change initiatives and managing own reaction to change.
Personal Work Ethic
Capacity to instil an ethic of quality and consistency in self and others.
Building Relationships
Capacity to establish constructive and effective relationships.
Communication
The capacity to clearly present information, either written or verbal.
Teamwork
Capacity to cooperate with others to work towards a common goal.
Technical Knowledge
The capacity to perform a technical function to required standards.

SKILLS (Leadership)
Empowering
Creating conditions of willingness and participation amongst teams by providing sufficient, encouragement, information, resources and authority to make the necessary decisions to accomplish tasks.
Emotional intelligence
The capacity to foster trust and create an emotionally intelligent workforce whose members know them selves and know how to deal respectfully and understandingly with others. The ability to regulate and manage one’s emotions in a healthy and productive manner.
Resilience to stress
Appropriately balancing these various pressures to maintain stable performance.

VALUES AND BEHAVIOURS
Netcare Values
At Netcare, our core value is care. We care about the dignity of our patients and all members of the Netcare family. We care about the participation of our people and our partners in everything we do.We care about truth in all our actions. We are passionate about quality care and professional excellence.

•Care - The basis of our business. The professional, ethical patient care and services we offer at every level of the organisation.
•Truth - The crucial element in building relationships that work. Open communication with honesty and integrity is essential.
•Dignity - An acknowledgement of the uniqueness of individuals. A commitment to care with the qualities of respect and understanding.
•Passion - The creative, passionate and innovative drive to do things better than before. To develop and implement successful healthcare solutions for all.
•Participation - The willingness and desire to work in productive and creative partnerships with others and the commitment to communicate.

The Netcare Way Netcare is committed to providing quality care. Our basic service standard holds us accountable for the below five behaviours which you will be accountable to uphold:
•
I always greet everyone to show my respect.
•
I always wear my name badge to show my identity.
•
I am always well groomed to show my dignity.
•
I always seek consent to show my compassion.
•
I always say thank you to show my appreciation.

Deadline Date: 27.03.2014
How to Apply:

APPLICATION PROCESS NETCARE IS AN EQUAL OPPORTUNITY EMPLOYER
The Company's approved Employment Equity plan and targets will be considered as part of the recruitment process aligned to the Group’s Employment Equity strategy.
Netcare actively supports the recruitment of people with disabilities.
Interested candidates who meet the above criteria are requested to e-mail a detailed CV to Karen
Jansen van Vuuren at,

karen.jansenvanvuuren@netcare.co.za
or

alternatively fax application details to:

086 686 5573

Please note:

•Please note that in line with the Group recruitment and selection policy, failure to inform your line manager will automatically disqualify your application. Please refer to the recruitment and selection policy for further details.
•In the event of any physical or psychological limitation that may impair an individual’s ability to
perform the job function, the employee must consult the employer for reasonable accommodatio