Patient Services Manager (Health Group) – Soweto, Gauteng 77 views

Job Overview



  • Bachelor’s Degree with Anatomy and Physiology
  • Current SANC registration
  • 3-5 years’ experience in a similar role in private healthcare
  • IDC and CPT coding
  • Must be computer literate


The main purpose of this position:


To plan, organise and execute the revenue cycle management at a hospital facility


The incumbent manages a team of specialist that contribute to hospital finances through accurate billing and risk mitigation processes


Duties & Responsibilities:


  • Deliver on the hospital’s revenue cycle management operating plan
  • Inspect work performed in the revenue cycle management team and ensure work is performed according to client’s quality standards
  • Research, enable and consult on improvements and opportunities to harness technology
  • Review existing processes and suggest innovative ideas to improve and streamline processes to drive efficiencies and minimise redundancy
  • Ensure the development, alignment, mapping and implementation of end-to-end standard operating procedures / processes
  • Ensure efficient management Reception, Admissions, Case Management and Billing Auditing departments
  • Ensure revenue and collections targets are achieved by effectively the department
  • Monitor and ensure WIP (Work-in-Progress) is within the agreed upon periods
  • Ensure overall rejections are within the acceptable threshold
  • Review, audit and sign off on all consignments to ensure accuracy of billing and minimisation capital loss
  • Conduct daily EOC (End of Case) reconciliation to ensure billings are done within the allotted timeframes per funder standards
  • Ensure case managers follow proper coding protocols to reduce rejection rates
  • Ensure case managers maintain an up-to-date register of length of stay and update the funders regularly to ensure all services rendered are paid for
  • Develop and implement admissions process and protocols and ensure the adherence of all admissions staff to maintain standards
  • Ensure that all files requested and utilised are in accordance with client’s standards
  • Review services (together with relevant stakeholders) on SAP to ensure optimisation of billings of services
  • Analyse data trends relating to rejections and short payments
  • Lead and drive the accurate and business billing process to ensure Patient Services metric targets are achieved


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