Fresh Positions at Intercare Group South Africa

CRITICAL OUTPUTS

• Provide professional and efficient reception, admission, and billing services to patients and the public.
• Ensure accurate and timely processing of patient admissions and billing to minimise delays in clinical and financial workflows.
• Deliver excellent customer service by welcoming and directing patients appropriately, answering queries, and assisting with admission documentation.
• Capture and verify patient admission details, ensuring authorisations and payments are in place.
• Process charge sheets, apply correct ICD10 codes, and finalise patient files for EDI submission.
• Ensure the accuracy of billing and payment processing, including capturing charges within the required timeframe.
• Address account queries and escalate complex issues when necessary.
• Perform general administrative tasks such as reporting faulty equipment, ordering stationery, and assisting in reception areas as needed.

REQUIREMENTS

• Grade 12 qualification (Tertiary qualification is advantageous).
• Minimum of 2 years of admissions and billing experience, preferably in the healthcare industry.
• Experience with the AS400 system will be an advantage.
• Fully proficient in Microsoft Word and Excel.
• Strong attention to detail and ability to work in a pressurised, deadline-driven environment.
• Excellent customer service and communication skills.
• Own transport required.
• Willingness to work overtime and be on call for emergencies when required.

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CRITICAL OUTPUT

• Work within the realms of the scope of practice and knowledge base in relation to current trends and advances to maintain competency level.
• Takes personal accountability for decisions made and actions taken and/or omissions in the course of care delivery.
• Ensure the dental room is hygienically acceptable and that sterilization and infection control protocols are adhered to with regards to instruments and equipment.
• Assist dentist in all clinical procedures according to branch protocol.
• Coordinate laboratory work including but not limited to completion of lab slips, collection, returning and casting.
• Control availability of consumables and equipment in dental room as well as the monitoring the economical usage thereof.
• Engage and interrogate concerns brought to his/her attention in order to provide safe dental practices.
• Ensure documentation is in accordance with the policy and within the legal framework.
• Maintain patient confidentiality, dignity and safety at all times.
• Ensure that the disposal of medical waste, human tissue and medicine is in accordance to legislation.
• Ensure the efficient functioning of equipment, or reporting of any equipment failure that could pose a potential risk to patients or staff.

REQUIREMENTS

• Grade 12
• Completion of approved training course in dental assisting, or any equivalent combination of training and experience.
• Previous experience in a customer focused service environment will be advantageous.
• Computer proficiency (MS Office).
• Knowledge of the principles, practices, and procedures of general dentistry as applied to assisting a dentist in the treatment and care of patients.
• Advanced knowledge of dental terminology.
• Basic understanding of the functioning of dental healthcare environment.
• Good knowledge and application of infection control principles and sterilization techniques.
• Knowledge of treatment codes used in dentistry in doing quotations for advanced dentistry treatment procedures.
• Specialised dental procedures.
• GoodX experience will be advantageous
• Registered with HPCSA as Registered Dental Assistant.

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CRITICAL OUTPUTS

• Provide high-quality, friendly, and professional service aligned with patient care standards.
• Monitor and maintain the cleanliness and organization of nursing areas.
• Handle basic patient queries related to services and escalate issues as necessary.
• Works within the realms of the scope of practice and knowledge base in relation to current trends and advances to maintain competency level.
• Takes personal accountability for decisions made and actions taken and/or omissions in the course of care delivery.
• Report concerns brought to his/her attention in order to provide safe nursing practices.
• Ensure documentation is in accordance with the policy and within the legal framework.
• Maintain patient confidentiality, dignity and safety at all times in compliance with POPIA.
• Ensure that the disposal of medical waste, human tissue and medicine is in accordance to legislation.
• Ensure the efficient functioning of equipment, or reporting of any equipment failure that could pose a potential risk to patients or staff.
• Actively maintain stock management processes.
• Ensure that the patient flow process is smooth, efficient and conducive to patient satisfaction.
• Attend to customer complaints and escalate where required to line manager.
• Ensure that protocols of professionals are adhered to at all times.

REQUIREMENTS

• Minimum Qualification: Matric / NQF 4 equivalent.
• Minimum of 2 years in a nursing role; 3 years recommended.
• Registered with South African Nursing Council (SANC) as an Enrolled Nurse Auxiliary.
• Computer proficiency (MS Office).
• Willingness to work shifts and occasional overtime as required.

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CRITICAL OUTPUTS

• Provide accurate and professional information to patients regarding assessments, pricing, procedures, and centre operations.
• Schedule, amend, or cancel patient appointments and send confirmation emails.
• Manage inbound and outbound calls from patients, providers, and brokers for booking queries and slot closures.
• Respond promptly to email inquiries from patients and providers.
• Conduct enrolment calls for wellness programs and follow up on outstanding patient accounts.
• Assist Clinical Care Coordinators with bookings and service coordination.
• Ensure high customer service ratings by handling calls efficiently and professionally.
• Provide basic IT troubleshooting support for customers.
• Maintain accurate records of calls, bookings, and follow-ups.
• Handle difficult clients with patience and professionalism.
• Work effectively in a high-pressure environment with high call volumes.

REQUIREMENTS

• Minimum: Grade 12.
• Minimum of 2 years in a call centre or customer service role advantageous.
• Excellent verbal and written communication skills.
• Strong customer service orientation with a professional and patient demeanor.
• Ability to handle high workloads and demanding clients.
• Strong attention to detail and problem-solving skills.
• Ability to work well under pressure in a fast-paced environment.

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DUTIES & RESPONSIBILITIES

Revenue Cycle Oversight:

• Manage the full revenue cycle, including patient registration, charge capture, claims submission, payment posting, and collections.
• Ensure accurate and timely billing to medical aid schemes, patients, and third-party payers.

Claims Management:

• Oversee submission and follow-up of claims to medical aid schemes (e.g., Discovery, GEMS) and government bodies, minimising rejections and resubmitting rejected claims efficiently.
• Monitor and improve claim approval rates and revenue recovery timelines.

Financial Performance:

• Optimise cash flow by reducing days in accounts receivable and addressing revenue leakage (e.g., unbilled services, uncollected co-payments).
• Prepare and analyse revenue cycle reports, providing insights to senior management on KPIs such as debtor days, collection rates, and bad debt ratios.

Compliance and Coding:

• Ensure adherence to South African healthcare regulations (e.g., Council for Medical Schemes guidelines, National Health Act) and readiness for National Health Insurance (NHI) developments.
• Supervise accurate use of billing codes (e.g., ICD-10, procedural tariffs) to support compliant and successful claims.

Team Leadership:

• Lead, train, and motivate the RCM team, fostering a culture of accuracy, efficiency, and patient sensitivity.
• Develop staff skills in medical billing, coding, and customer service.

Process Improvement:

• Implement and maintain RCM systems (GoodX, SharePoint, PowerBI) to streamline workflows and enhance automation.
• Identify and address inefficiencies in the revenue cycle, collaborating with clinical and administrative teams to improve payment allocation, payment methods, patient communication, and registration processes.

Stakeholder Collaboration:

• Work closely with patient administration, clinical staff, and IT teams to ensure seamless revenue cycle operations.
• Liaise with medical aid schemes and external partners to resolve payment disputes and improve reimbursement processes.

Patient Experience:

• Oversee patient billing communications, ensuring clarity and sensitivity, particularly for underserved or uninsured patients.
• Address patient queries related to billing or medical aid shortfalls in a professional and empathetic manner.

REQUIREMENTS

Education:

• Bachelor’s degree in Finance, Accounting, Healthcare Management, or a related field.
• Additional certification in medical billing/coding (e.g., ICD-10 certification) or revenue cycle management is highly advantageous.

Experience:

• Minimum of 5 years’ experience in revenue cycle management, billing, or financial management within a healthcare setting.
• At least 2 years in a supervisory or managerial role.
• Proven track record of managing claims with South African medical aid schemes and improving revenue outcomes.

Technical Skills:

• Proficiency in RCM or financial software (e.g., GoodX, Sage) and Microsoft Office (especially Excel).
• Strong understanding of South African healthcare billing codes (ICD-10) and medical aid processes.

Knowledge:

• In-depth knowledge of South African healthcare regulations (e.g., CMS, NHI framework) and financial reporting standards (e.g., IFRS).
• Familiarity with socio-economic challenges affecting patient payments in South Africa.