Job Vacancies at Melomed Private Hospitals

Description

• Grade 12
• Tertiary Qualification will be advantageous
• Three years’ experience as a Credit Controller
• Sound knowledge and experience relating to debtors’ administration and credit control in the private healthcare environment
• Dynamic person with interpersonal skills, strong influencing, and communication skills
• Excellent attention to detail
• Excellent computer skills
• Ability to work well within a team
• Ability to work in a pressurised environment
• Understanding of prescribed minimum benefits (PMB) process
• Understanding of ICD-10, CPT and hospital billing rules
• In-depth knowledge of the NHN Billings Guidelines

Requirements

• Recover outstanding debt from the medical aid schemes, insurers, patients, members, and guarantors.
• Effectively manage the outstanding debt to prevent bad debt write offs and stale claims.
• Manage and work through the age analysis on a daily basis.
• Control outstanding medical aid accounts by processing and submitting all medical aid claims within the required time frame.
• Accurately record the collection status and relevant collection notes of each account.
• Prepare documentation of all accounts in connection with their remittances.
• Capture the remittances and reconcile all claims allocated.
• Process refund requisitions.
• Liaise with the medical aid schemes and patients to resolve account queries/shortfalls.
• Complete daily additional functions accurately.
• Adhere to company policies and procedures and uphold the image of the company in a professional manner

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Description

• Support Shift leaders and trouble shoot problems
• Assess patient acuity
• Liaise with NSM for additional resources that is required
• Determine needs for the hospital as a whole
• Manage, drive and monitor BCA bundles, SHEQ, IPC and Quality principles in the hospital
• Co-ordinate and audit after-hour admissions, discharges, stock levels and medication levels
• Responsible for issuing medication timeously from the emergency cupboard, as per the Medication Policies
• Ensure that all departments in the hospital are emergency prepared
• Audit patient files to positively contribute to billing and revenue
• Effective management of wastage resources, stock and medication
• Regular ward and patient rounds
• Liaison between the various departments and stakeholders
• Effective delegation
• Adherence to the principles of patient advocacy
• High energy levels and tolerance for stress/pressure
• Education and Training
• Problem analysis/solving skills and accurate record keeping
• Excellent interpersonal and communication skills at all levels
• Ability to lead Melomeds’ vision and values
• Adhere and enforce hospital policies, protocols and quality improvement initiatives
• Ad hoc duties

Requirements

• Diploma or Degree in Nursing
• Post Basic qualification would be advantageous
• Practiced as a Registered for at least 5 years
• Minimum 3 years’ experience in a similar position
• Previous experience in a Private Hospital would be advantageous
• Detail orientated Honesty and integrity
• Able to work independently
• Good management, planning and organizing skills
• Adaptable
• Computer literacy; proficient in Microsoft Office
• Must be flexible
• Clear understanding of quality Risk Management
• Analytical and problem-solving skills
• Must do Hospital Call as and when required
• Availability to work overtime as and when required