Patient Services Specialist

at Life Healthcare
Location 203 Oxford Rd, Dunkeld, Dunkeld, South Africa
Date Posted
Category Healthcare
Work Hours Day
Salary Units MONTH
Currency ZAR
Street Address Dunkeld



Vacancies exists for two (2) Patient Services Specialists, based at Life Healthcare Head Office, Dunkeld reporting to the National Clinical Coding 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

Collaborate with units to achieve clinical coding excellence by application of clinical and coding knowledge

Manage clinical coding training and competency of all staff members responsible to assign clinical coding

Supporting all staff members responsible to assign clinical coding with advice on clinical coding scenarios

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

Early identification of financial risk related to clinical coding with subsequent corrective actions and post-implementation measurement.

Ensure effective operational capabilities by


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

Utilising business reports to implement corrective and assistive actions to ensure integrity of clinical coding data

Continuous business re-engineering focusing on people, processes and technology to ensure clinical coding is assigned accurately and consistentl

Provide support and drive innovation and best practice impacting on quality of clinical coding

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




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




Problem-solving, analysis and judgement

Research, planning, organising 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 CVs