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Lenmed invites suitably qualified candidates to apply for the following position

Billings Audit Clerk Re-Advertised

DEPARTMENT

Patient Services

JOB TITLE

Billings Audit Clerk

CLOSING DATE

2024/10/11

HOSPITAL

Shifa Private Hospital

WORK ADDRESS

Shifa Private Hospital - 482 Randles Road, Durban, 4091

Main Focus Areas

Auditing of patient details, clinical information & billing documents in the patient file to ensure accuracy , completeness of data & billing prior to the submission to the medical scheme. ​

Key Performance Areas: (include but are not limited to)

  • Validate admission / discharge dates & times as correct.
  • Check and confirm all relevant/required documentation is in the file.
  • Check the charge sheets, theatre operative documents and prescription charts against the statement to make sure all stock used are billed and that the quantities are correct
  • Escalate all queries (Charging, credits, pricing, etc.) to the relevant departments for correction and resolution.
  • Engaging with all relevant stakeholders where required.
  • Review services and ensure billing is in accordance to the NHN Guideline, Tariffs, Fixed Fee / ARM manuals, relevant procedures & admission types.
  • Ensure all cases are submitted successfully via EDI and all rejections resolved.
  • Accurate and correct billings as per standards
  • Timeous billing
  • Doctor and patients care service
  • Ability to maintain patient confidentiality
  • Sending the file back to the Unit Managers if there are any medicine/credit mistakes made.
  • Sending the file back to Pharmacy if there are any credits not done or medicine queries
  • Answering phones and dealing with telephonic queries

Post Requirements: (include but are not limited to)

  • Grade 12 or Equivalent NQF Level 4 Qualification​
  • Knowledge of the NHN Billing Guidelines & Fixed Fee / ARM contracts.​
  • A Nursing background will be advantageous​
  • Minimum of 1 – 2 years experience in Bill Auditing at a private multi disciplinary hospital.​
  • Computer literacy is essential, with excellent knowledge of Excel. ​
  • SAP Experience is advantageous.​
  • Flexible in working hours/Shifts​

Please Note:

Candidates must ensure that their contact details are correct and that they can be contacted during office hours. If candidates are not contacted within thirty (30) days after the closing date, they should consider their applications as being unsuccessful. Late, incomplete and applications not indicating the applicable position will not be considered. The right to fill the position within the Operational requirements of the Company is reserved. By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes(should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of an employment relationship with yourself, and this will be in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without obtaining your prior consent. If your application is not successful, we retain your CV and other information provided of 6 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will immediately destroy your personal information in a secure manner. Equal opportunity is supported by the Employer.

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