Fresh Jobs at Clinix Health Group (Pty) Ltd

Job Description

To plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care.

Minimum Requirements:

• Relevant Nursing qualification.
• CM or Billings Clerk with ICD training and anatomy and physiology course certification.
• IDC and CPO coding.
• 3-5 years’ experience as a hospital case manager.

Minimum work experience:

• Liaise with Receptionist for authorisations.
• Ensure compliance to case management procedures, standards and protocols.
• Plan, coordinate and execute Clinical coding in accordance with relevant CHG standards and protocols.
• Ensure accurate, appropriate and complete diagnostic and procedural coding of all patient records in the hospital.
• Timeously and consistently communicate and follow up with Funders (Medical Aids, COID, Government, RAF, DOL, etc.).
• Provide appropriate clinical information to Funders in order to update Length of Stay, Level of Care, formulary utilisation, assistive devices / Prosthesis, diagnostic interventions, therapy intervention and procedural interventions and required change in the facility.
• Consult daily with all relevant health care providers with regards to patient treatment.
• Ensure the maintenance of patients’ clinical status (subsequent interventions and treatments) in accordance to Funder requirements for the duration of hospitalisation.
• Ensure the correct categorisation and management of different patient accounts to facilitate reimbursement by Funder.
• Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders.
• Minimise financial risk by the effective management of patient hospitalisation.
• Follow the established and approved escalation processes in the event of a decline of payment by Funder.
• Ensure to remain in the group and facility targets of 3 days for WIP (work in progress) and DNYB (discharged not yet billed).

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Job Summary:

To minimize the financial risk of the company by ensuring maximum collection of outstanding debt. The incumbent will take responsibility for the credit portfolio allocated, however would contribute to the overall collections and performance of the team.

Job Requirements:

• Grade 12.
• Credit Administration or Credit Management Diploma.
• Basic bookkeeping or accounting qualification advantageous.
• 2+ years’ experience in collections/ credit control environment.
• Prior private hospital experience advantageous.
• Ability to grasp Medical Scheme rules and requirements.
• Computer proficiency – Excel & SAP system.

Critical Outputs:

• Work within set collections targets and collect outstanding debt to ensure bad debt is kept to a
• Prioritize collection of high value accounts in line with Medical Scheme payment
• Escalate account queries and issues to Collections Manager immediately, if this cannot be personally
• Escalate account queries to Financial Manager/Case Manager at hospital level for
• Ensure hospitals have provided feedback alternatively follow up on outstanding issues until resolution achieved – escalate to Collections Manager were assistance is
• Liaise with legal representatives regarding outstanding accounts / bad debt, where applicable.
• Access Medical Scheme websites (where applicable) to monitor monies paid v outstanding and update SAP system as required
• Contact Medical Schemes to obtain outstanding remittance and address over-payments and short-payments.
• Contact private patients to follow up on outstanding payments or payments to be made daily prior to
• Follow up on payment of monies due from patients if Medical Scheme Benefit Limits have been
• Review and understand age analysis in terms of managing debtors’
• For COID, daily contact required with COID in terms of meeting submission requirements (i.e. all required documentation is available and submitted) and regarding outstanding payments.

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Job Summary:

To take responsibility for designing, organizing, modifying, installing and supporting the company’s computer systems and designing and installing LANs, WANSs, internet and intranet systems, and network segments.

Minimum Qualifications and Experience:

• Grade 12.
• Certificate in MCSE.
• Degree in Information Sciences advantageous.
• 2 years’ experience working in a similar environment.

Minimum Job Requirements:

• Develop and maintain installation and configuration procedures.
• Contribute to and maintain system standards.
• Research and recommend innovative, and where possible automated approaches for system administration tasks.
• Identify approaches that leverage resources and provide economies of scale.
• Install and support LANs, WANs, network segments and internet and intranet systems.
• Install and maintain network hardware and software.
• Monitor networks to ensure security and availability to specific users.
• Evaluate and modify system’s performance and identify user needs.
• Determine network and system requirements.
• Maintain integrity of the network, server deployment, and security.
• Ensure network connectivity throughout the company's LAN/WAN infrastructure is on par with technical considerations.
• Design and deploy networks and perform network address assignments.
• Assign routing protocols and routing table configuration.
• Assign configuration of authentication and authorization of directory services.
• Maintain network facilities in individual machines, such as drivers and settings of personal computers as well as printers.
• Maintain network servers such as file servers, VPN gateways and intrusion detection systems.
• Administer servers, desktop computers, printers, routers, switches, firewalls, phones, personal digital assistants, smartphones, software deployment, security updates and patches.
• Inform users of system failure and take measures to solve problems timeously.
• Provide support per request from various stakeholders and investigate and troubleshoot issues.
• Repair and recover from hardware or software failures and coordinate and communicate with impacted constituencies.
• Maintain operational configuration, or other procedures.
• Perform periodic performance reporting to support capacity planning.
• Perform ongoing performance tuning, hardware upgrades, and resource optimization as required.

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Job Description

To monitor, coordinate and provide high quality management information and to oversee the financial function of CHG hospitals.

Minimum Qualifications and Experience:

• CA (SA) or equivalent.
• 3-5 years financial management related experience.
• Sound knowledge of International Finance and Accounting Standards (IFRS), including latest amendments in IFRS 9, 15 & 16.
• Computer proficiency – Advanced Excel and SAP non-negotiable.
• Deadline driven is paramount and non-negotiable.

Minimum Job Requirements:

• Ensure the production of accurate and timeous financial management information.
• Prepare the Hospital’s financial statements according to internal CHG standards and in compliance with IFRS.
• Ensure Masterfile of Financial information on the approved financial system.
• Review and provide feedback for asset, liability and capital accounts journals prepared by the Hospital based Financial Accountant.
• Prepare Quarterly and Annual Financial statements and supporting working documents.
• Prepare management accounts, budgets and forecasts.
• Analyse and interpret balance sheet reconciliations and costs.
• Review and sign-off general ledger reconciliations.
• Analyse and monitor variances to budget and take appropriate corrective action in support of achieving financial targets.
• Compile annual and interim budgets and report on variances.
• Review and sign-off.
• Evaluate the hospital’s financial processes, procedures and controls and implement remedial action to ensure alignment.
• Ensure the hospital is VAT compliant.
• Ensure the maintenance of CAPEX and fixed asset registers.
• Implement, monitor and control relevant finance processes according to quality standards, policy, compliance and governance requirements.
• Ensure the alignment and implementation of end-to-end standard operating procedures / processes.
• Research, enable and consult on improvements and opportunities.
• Review existing processes and suggest innovative ideas to improve and streamline processes to drive efficiencies and minimise redundancy.