Africa Health Care (AHC) is a healthcare operator specialising in hospital management and related healthcare services. Our goal is to ensure that affordable quality healthcare services are made available to all.
AHC was established in 2014 and in 2017 the company became a wholly owned subsidiary of RH Bophelo
The AHC portfolio consists of 2 Africa He...
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A vacancy exists for a Billings Clerk, reporting to the Patient Administration Manager. The successful candidate will be responsible for medical aid billing by gathering coding and transmitting patient care information to ensure maximum collection for all admissions.
Critical Outputs
Application of ICD 10 codes, CPT codes, all medical aid tariffs and billing rules.
Daily billing on all in and outpatient accounts (LOC, equipment and stock).
Timeous closure and release of discharged patient accounts.
Monitor receiving of discharged files and report delay trends.
Assist with final audit of all patient accounts prior to release.
Monitor release system to ensure complete submission.
Liaise with Ward staff, Pharmacy and Theatre to obtain correct CPT codes, stock codes, equipment details, theatre time, type of procedure, anaesthetic gasses, etc.
Ensure regular and effective communication with all members of the multi-disciplinary team.
Ensure complete and efficient billing of all patient accounts requiring prosthesis.
Identify risk areas and give feedback to Management
Requirements
Grade 12 or equivalent qualification
A nursing qualification preferred
Previous experience in a Billings department essential
Private healthcare industry knowledge and an understanding of Medical Scheme rules and regulations
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