Job Description

To plan, organize 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.Minimum Qualifications and Experience:

• Relevant Bachelor's degree.
• Registered Nurse.
• 3-5 years' experience in a similar role in private healthcare.
• Must demonstrate exceptional communication skills along with excellent customer service skills.
• Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure.
• Must be computer literate.
• Good management skills.
• Experience in Billings and Case Management advantageous.

• Ensure efficient management Reception, Admissions, Case Management and Billing Auditing departments.
• Ensure revenue and collection targets are achieved effectively by 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 minimization 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 up-to-date register of length of stay and update the funders regularly to ensure all services rendered are paid.
• Lead and drive the accurate and business billing process to ensure Patient Services metric targets are achieved.
• Analyse data trends relating to rejections and short payments.
• Ensure all files requested and utilized are in accordance with CHG standards.

Clinix Health Group