Hospital Billings Co-ordinator

ROLE SUMMARY

The Hospital Billing Co-ordinator must have sound knowledge and understanding of the whole patient journey from Admit to Receipt. The person must also have a sound understanding of the Netcare Tariffs & Billing Guidelines (NTBG), Operating systems (incl. CareOn and SAP) and Business reporting.

The incumbent is responsible for coordinating all the processes that facilitate timeous final billing from all internal hospital departments. This includes coordinating outputs from reception, ward, theatre, and pharmacy. The function extends to gathering outputs required for final billing from doctors, pathology, radiology, and any other healthcare providers.

The incumbent must be solution orientated and possess the necessary people skills to influence the gathering of outputs. The Hospital Billing Co-ordinator is required to maintain the channel of communication between the hospital and the Billing Operations Cluster (BOC).

KEY WORK OUTPUT AND ACCOUNTABILITIES

DISRUPTIVE INNOVATION

Patient Liaison

Ensure effective patient liaison with regards to managed care aspects excluding credit control functions.

Co-ordination at Hospital site

Participate in regular BOC and site meetings.

Achieve KPIs associated with hospital information flow to the BOC.

Build and maintain stakeholder relationships

Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.

Create and maintain a positive environment where the differences of others are recognized, understood, and valued, so that all can reach their full potential and maximize their contributions.

Develop collaborative relationships to help accomplish work goals.

Maintain customer intimacy through building relationships with internal and external stake holders.

Change Management

Implement changes communicated by the BOC effectively to ensure compliance.

Review and implement effective workflow process to facilitate efficiencies between BOC and the hospital site.

General Tasks

Contribute to continuous quality improvement to enhance systems and its adaptations.

Keep track of outstanding items required by the BOC workflow.

Ensure that all communication and/or documents are submitted to BOC in the required digital format.

TRANSFORMATION OF OUR SOCIETY

Healthcare Knowledge

Keeping abreast of changes that affect the local business environment.

Keep updated with new developments in the managed health care industry and the health care industry.

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

Required

Grade 12 or Equivalent NQF Level 4 Qualification

WORK EXPERIENCE

Required

Worked in Netcare Billings Department for minimum of 3 years.

KNOWLEDGE

Required

An understanding of the Netcare Confirmations, Case Management, and File assessing processes.

Good Communication skills (written and verbal)

NTBG knowledge

Computer Literacy including SAP and CareOn.

PHYSICAL REQUIREMENTS

In the event of any physical or psychological limitation that may impair the employee’s ability to perform the required job function, the employee must consult the employer for reasonable accommodation.

WORKING CONDITIONS

Professional flexibility in working hours while supporting daily business operations which may include weekends and night shifts where applicable.

Will interact with internal and external customers through several different means.