Administrative Officer: Finance (Billing) at Gauteng Department of Health

Requirements :

• Senior Certificate/Grade 12 plus a recognised minimum three -year tertiary qualification /National Diploma (NQF level 6) in Finance Management/Accounting/or Cost and Management Accounting.
• Minimum of two (2) years of functional relevant experience in Revenue Management, Patient Billing and Case Management within health care environment. Valid driver’s licence.
• Other Skills/Requirements: knowledge of the Public Finance Management Act (PFMA), Treasury Regulation, Uniform Patient Fee Schedule (UPFS) user guide/procedure book, Knowledge of ICD 10 coding, diagnostic coding, tariff structure, Medical Schemes Act and application of Prescribed Minimum Benefit (PMB) legislation, Patient classification processes and National and Provincial. Knowledge of Hospital Fees, SAP-HIS, BAS, UPFS, PMFA and Treasury regulations.
• Knowledge of reconciliation between BAS and Billing system. Computer literacy (MS Word, Excel). Knowledge of Revenue policies and understanding of sector financial administration and the provision of PFMA. Knowledge of relevant prescripts such as Government Gazette. Good communication skills, report writing skills be computer literate and have ability to work under pressure.

Duties :

• Ensure compliance with Public Finance Management Act (PFMA), Treasury Regulation, Departmental Revenue Management Policies and other applicable legislation. Coordinate and monitor patient billing processes to ensure accurate, complete and timely billing of all patient’s services rendered. Perform Case Management function by reviewing patient’s records, diagnose, procedures and treatment information to ensure accuracy and completeness for billing purposes. Verify and validate ICD-10, Diagnostic codes, procedure codes and patient classification information.
• Liaise with clinicians, nursing staff, daily wards round to identify billable services done on, MVA, SAPS, IOD, DOC, H2, H3 and liaise with clinicians and medical schemes to monitor utilisation while in hospital. Monitor ICD 10 coding and other clinical information to prevent rejections by funders. Implement billing Management and debt Management Policies. Identify under billing omitted services and revenue leakage. Oversight of debtors and outstanding accounts across categories.
• Manage billing and attend to billing queries. Reconciliation of BAS and HIS system Comprehensive management of hospital billing and revenue processes. Monitoring and correcting EDI rejections and billing errors.
• Compilation of detailed compliance and financial reports in adherence to PFMA, UPFS, and other regulatory prescripts. Attend monthly customer meetings. Supervise and evaluate personnel. Handling of audit queries. Compile and submit reports timeously. Manage the customer service office.

Closing Date : 29-06-2026