Patient Services Specialist

at Life Healthcare
Location Johannesburg, Johannesburg, South Africa
Date Posted
Category Customer Service
Job Type FULL_TIME
Work Hours Day
Salary Units MONTH
Currency ZAR

Description

 

A vacancy exists for a Patient Services Specialist, based at Head Office, reporting to the National Case Manager. The successful candidate will be responsible for delivering on the patient services strategy, sustaining best operating practices. Supporting and mentoring the Hospital Patient Service teams to reach the Critical Outputs.

 

Critical Outputs

Ensure effective quality management and customer care by

 

Monitoring and improving quality metrics

Managing data integrity and compliance to Life working procedures

Developing and maintaining relationships with stakeholders

Deliver appropriate information to the business to facilitate the decision making process and support management.

Ensure effective people management by

 

Demonstrating visible leadership skills in respect of Life values, operating models and strategies in order to support diversity and transformation

Actively leading meetings and ensure participation of all members in order to ensure ISO compliance

Ensuring appropriately qualified and experienced staff members are recruited to fill approved vacancies in accordance with the company’s transformation objectives

Providing direction and inspiration to ensure staff are motivated and productive

Developing and reviewing training plans that are compliant to Life’s WSP requirements in order to enable talent development

Facilitate the management of the performance of staff through the performance improvement process

Facilitate productive working relationships with minimum IR issues

Ensuring all exit interviews are conducted in order to ensure the retention of staff,

Investigate high attrition rates by surveys , analysis of leaver reasons and mitigation of risk for critical skills

Managing people in a manner that respects diversity and ensures a fair work-life balance to ensure employee wellness

Ensure effective and accurate billing by

 

Driving the accurate and timeous billing process to ensure DSO and Shaka targets are achieved

Managing the bill auditing process in order to achieve accurate billing data

Ensuring compliance with the clinical code of conduct to ensure the accurate interpretation of a patient event

Ensure effective interpretation & application of contracts and funder rules by

 

Managing the admissions department to ensure that they comply with the funder rules

Managing the collection of outstanding co-payments from patients

Reducing and managing the risk associated with RSRT’s by making recommendations regarding patient based data.

Perform audits on the billing and coding with feedback to business on findings and recommendations

Facilitating effective cash flow management by

 

Implementing processes from pre-admission to submission of an account in order to ensure DSO targets are achieved

Implementing cash management processes to prevent losses

Ensure effective operational capabilities by

 

Managing and implementing PS business strategy in order to ensure optimal functioning

Assisting with the development and implementation of a robust information management system, UAT testing.

Governance and risk management by

 

Preparing and ensuring sound audit compliances to achieve optimum business ethics

Participating and developing action plans within the risk management teams to appropriate the correct controls

Support tip-off investigations

 

Requirements

 

Degree/Diploma as a professional nurse with approximately 5 years post basic, preferably ICU or theatre trained

Proven leadership and/or people management experience within healthcare.

Comprehensive understanding of the Life billing contracts and funder rules

Strong clinical competency skills and clinical coding, both ICD and CPT

Knowledge of electronic messaging

Knowledge of the hospital billing and claims process

Strong interpersonal and self management skills

Computer proficiency (MS office)

Willing to travel

 

Competencies

 

Problem-solving, analysis and judgement

Research, planning, organizing implement , Monitor and Reassess processes/procedures

Resilience; Drive & energy

Engaging diversity

Verbal & written communication and presentation

Knowledge of the hospital information system

Knowledge of LHC policies, practices, systems and procedures, protocols.

Excellence orientation

Ethical behaviour

Building relationships and Networking

Customer responsiveness

Organisational awareness

Leading by example

Motivating and developing people

Continuous learning and improvement

Knowledge of Human Resource Utilisation

Influencing and Negotiating Skills

 

Interested candidates can send their CV

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