Mediclinic is an international private healthcare services group, founded in South Africa in 1983, with divisions in Switzerland, Southern Africa (South Africa and Namibia) and the United Arab Emirates.
The Group is focused on providing specialist-orientated, multidisciplinary services across the continuum of care in such a way that the Group will be regarded as the most respected and trusted provider of healthcare services by patients, medical practitioners, funders and regulators of healthcare in each of its markets.
MAIN PURPOSE OF JOB
To manage the Patient Administration Department and all related processes to ensure that correct accounting processes and procedures are being followed and address any issues that could affect the settlement of accounts and generation of income for the hospital to optimise revenue and cash conversion.KEY RESPONSIBILITY AREAS
Lead and manage the people in the department
Patient administration management
Manage and mitigate departmental risks
Information management
Manage and control department budgets / financesREQUIRED EDUCATION
ESSENTIAL EDUCATION: Grade 12; Tertiary qualification with debtors / financial experience
DESIRED EDUCATION: None REQUIRED EXPERIENCE
ESSENTIAL MINIMUM EXPERIENCE: Minimum of 5 years debtors experience; At least 5 years’ experience in a Managerial or Supervisory position; Experience and insight in the total Patient Administration Management environment.
DESIRED EXPERIENCE: Previous medical aid/managed health experience; Background knowledge of the hospital/healthcare industry;
Previous patient medical industry debtors experience.REQUIRED JOB SKILLS AND KNOWLEDGE
- Anatomy (including terminology)
- Funder Contracts; Medical aid requirements/narrations
- Patient admin programmes on the AS400 system
- Rules and regulations regarding funder contracts
- Computer literate (Microsoft Office)
- Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.)
- Clinical codes management
- Financial administration (e.g.. Refunds; journals; small ledger; payments; third,party invoicing)
- B2B EMS (electronic message system: check status of authorisations and use for trouble,shooting)