Jobs at Africa Health Care

Description

• A vacancy exists for a Case Managers, reporting to the Patient Administration Manager. The position’s primary responsibilities include efficient patient case management and the delivery of an efficient and professional service to the internal and external customers.
• The successful candidates will be goal oriented with strong customer, quality, and performance focus

Critical Outputs

• Ensure that pre-admission and pre-authorization information is accurate and in accordance with hospital and funder procedures.
• Carry out clinical coding in accordance with CPT/CCSA and ICD requirements.
• Daily ward rounds for effective clinical update communication and timeous follow up with medical aids.
• Maintain patients’ clinical status in accordance with funder approval requirements for the duration of hospitalization; keeping patients informed and managing the entire hospital stays’ financial risk.
• Provide complete and accurate updates and discharge information of all accounts.
• Maintaining accurate accounts of all admissions Handle patient files in accordance with hospital procedures.
• Timeous electronic submission of accounts and follow up on short payments arising from case management related issues.
• Ensure the adherence of hospital staff to funder rules and coding procedures.
• Keep well informed on legislation pertaining to funders and related Health Care matters..

Requirements

• Nursing: SANC registration RN or EN, with Case Management qualification/experience
• Nonclinical case managers with Case Management qualification/experience
• High school matric certificate.
• 3 – 5 years’ experience in clinical coding, private hospital case management and Medical Aid administration procedures.
• Knowledge of hospital billing, funder contracts and tariffs would be an advantage.
• Have sound computer literacy skills and working knowledge of MS office, word and excel.
• Excellent communication skills and the ability to form and build strong relationships & partnerships with internal & external stakeholders.
• Excellent negotiation skills & the ability to interact with tact and diplomacy

Competencies

• Collaboration/ Relationship Building
• Resilience
• Engaging diversity
• Verbal & written communication and presentation skills
• Influencing
• Customer responsiveness
• Organisational awareness
• Excellence and quality orientation
• Ethical behaviour

Closing: 2025-10-29

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Description

• A vacancy exists for a Finance Manager responsible for Umtshezi Private Hospital reporting to Hospital Manager at the facility. The successful candidate will be responsible for overall supervision of Finance Department, resolving queries, ensuring processes are in line with the working procedures and policies of the Hospitals and safeguarding adherence to specific and general company policies.

Critical Outputs

Financial management & compliance

• Monitor all clearing accounts and ensure all outstanding matters are cleared in a timely manner.
• Review cash book weekly and sign off cash book reconciliation.
• Prepare and review of journals and coding of sundry invoices.
• Review of creditors and payment reconciliations prior to payment
• Monitoring of daily cash flow and calculation of transfers within the cash management.
• Ensure the correct cost centers and GL accounts are used when processing transactions.
• Prepare and review of daily stats. Prepare weekly stats report and revenue report.
• Prepare weekly cash flow indicating weekly position and projected position the month.
• Review preliminary payroll as per payroll protocol. Agree approved claims to claims as per payroll (overtime, kms, leave cashed, etc.).
• Review final payroll and balance the payroll to the payroll system (SAGE) and execute payroll payments within set payment terms.
• Review Leave Provision Calculation – Exclude all sessional and staff who have been terminated and pro rata all new permanent staff.
• Audit leave balances for SAGE balances maintained on excel.
• Review of stock adjustments, including general stores, non-recoverable items, and medical consumables.
• Prepare vat calculations and ensure execution of payment within set payment terms.
• Review of all leases (ensure invoicing of all tenants including their utilities)
• Maintain the open and closed periods on SAP.
• Ensure the month-end procedures on the hospital information system are completed by the agreed date for the month.
• Completion of monthly management accounts timeously.

Reconciliations

• Ensure that all balance sheet reconciliations are produced on an accurate and timely basis to include bank reconciliations, debtors, creditors, and inter-company account.

Reporting

• Present accurate and timeous management accounts for presentation at operational management and Board meetings together with coherent detailed explanations on variances, as may be required.
• Prepare and produce detailed cash flow forecasts that are accurate and timeous to the form the basis for the working capital.
• Prepare quarterly management reports for the hospital.
• Ensure audit deliverables are maintained according to the standard required by the auditors.
• Initiate, follow through, monitor, and develop annual budget in collaboration with the Hospital Manager and report to the Board for approval.

People management

• Effective communication with team ensuring they are fully informed about policies and work procedures, business developments relevant to the Finance Department.
• Submit payroll input with accurate data for team, including but not limited to leave, variable earnings.
• Plan, organize and monitor the implementation of projects and ensure recognition of successful implementation and targets reached.
• Performance Management and talent development.
• Monitor staff progress against the approved training interventions for the skills year.
• Utilize the wellness service provider for staff debriefings and assist in referring employees.
• Maintain a healthy ER environment and address any deviations expediently and consistently with fairness.

Requirements

• Relevant accounting qualification
• 3 years’ experience in a similar role in healthcare
• Familiarity with SARS filing and compliance
• Experience with payroll services
• Own transport is essential

Competencies

• Collaboration/ Relationship Building
• Problem-solving, analysis and judgement
• Negotiation
• Influencing
• Planning
• Customer responsiveness
• Ethical behaviour
• Adaptability
• Attention to detail

Closing: 2025-10-29

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Description

• A vacancy exists for Patient Administration Manager reporting to the Finance Manager. This role is responsible for the management and coordination of patient administration resources, processes and operations to achieve quality service and optimize the facility’s profitability.

Critical Outputs

• Management of the total patient administration function including Case Management, Billings, Collections and Reception, i.e., tariffs/tariff structures, authorisations, LOS on confirmations, identify financial risks, co-payments, etc.
• Expediently investigate and resolve claims and payments.
• Process journals and adjustments.
• Reconcile Debtors control account.
• Liaise with Funders.
• Assist with quarterly and annual stock-takes.
• Meet and exceed customer requirements consistent with business priorities.
• Preparation of month end reports and statistics.
• Management and training of personnel
• Ensure compliance with Company Policies/Procedures and Legislation

Requirements

• SANC registration as a Registered Nurse ideally with ICU experience.
• 5 years’ experience of Medical Aid administration processes and case management (ICD10, CPT 4 Procedure Codes and Per Diems).
• A minimum of 2 years supervisory or management experience.
• Knowledge of hospital billing system and tariff structure will be an added advantage.
• Experience in private healthcare environment.
• Knowledge of fixed fee and private packages.
• Relevant completed course in ICD and CPT coding.

Competencies

• Collaboration/ Relationship Building
• Report writing
• Problem-solving, analysis and judgement
• Resilience
• Engaging diversity
• Verbal & written communication and presentation skills
• Influencing
• Planning
• Customer responsiveness
• Excellence and quality orientation
• Ethical behaviour
• Technical and professional knowledge

Closing: 2025-10-29