Clinix Health Group (Pty) Ltd, a leading entity in the hospital and healthcare industry, is currently seeking a qualified and experienced individual to fill the position of Billings Auditor. This role is based at the Clinix Head Office within the Finance Business Unit and will report directly to the Patient Services Manager.
Billings Auditor Job Overview
- Location: Johannesburg, Gauteng
- Position: Billings Auditor
- Position Type: Permanent
- Posted Date: 18 July 2024
- Closing Date: 30 December 2024
Billings Auditor Job Summary
The Billings Auditor is responsible for overseeing the hospital’s billing processes to ensure that the products and services provided to patients are accurately reflected in the final bill. The Billings Auditor role involves detailed and precise audits of patient files, comparing the services received with the itemized bills, and ensuring compliance with the company’s billing requirements and agreements with Medical Schemes.
About Clinix Health Group
Clinix Health Group (Pty) Ltd is dedicated to providing high-quality healthcare services to underserved and rural communities in South Africa. Established with a vision to make healthcare accessible and affordable for everyone, Clinix has grown over the years to become a trusted name in the hospital and healthcare sector.
Mission and Vision
Mission: Clinix Health Group aims to deliver compassionate, high-quality, and accessible healthcare services to all, with a particular focus on communities that have historically been underserved. The organization strives to create a healthcare environment that emphasizes patient care, community health, and the well-being of its staff.
Vision: Clinix Health Group aspires to be the leading healthcare provider in South Africa, known for its commitment to excellence, innovation, and equitable healthcare access. The group’s vision is to bridge the healthcare gap in rural and urban areas, ensuring that every South African has access to world-class medical care.
Key Responsibilities
- Invoice Management: Print pro-forma invoices for allocated patient files and manage them through SAP reports such as billing status, final billing, and discharge reports.
- Trend Analysis: Review and analyze billing reports to identify negative trends, implement corrective actions, and escalate any issues to relevant departments.
- Audit Compliance: Conduct regular audits on patient files to ensure accuracy and quality, identify trends, and ensure compliance with company and Medical Scheme standards.
- Verification Tasks: Verify patient information, medical scheme details, medication usage, surgical movements, treatment categories, and LOS updates.
- Documentation and Corrections: Document any corrections needed in patient files and ensure they are escalated and resolved by the appropriate departments.
- Final Billing: Verify the final bill on the SAP system, perform End of Case (EOC) processes, and ensure the accurate maintenance of supplier invoices.
- Private Patient Management: Handle final bill invoices for private patients, including COID and RAF patients, and forward files to the Collections Department for further management.
Minimum Qualifications and Experience
- Education: Diploma in Nursing and a finance-related qualification.
- Experience: 2-3 years in a similar role and position.
Job Requirements
- Technical Skills: Proficiency in SAP and the ability to access and interpret various billing reports.
- Analytical Skills: Strong ability to review, analyze, and use reports as management tools for identifying trends and implementing corrective actions.
- Attention to Detail: Meticulous auditing of patient files to ensure accuracy and compliance with contractual agreements.
- Communication Skills: Effective communication to escalate and follow up on trends and deviations with relevant departments.
How to Apply
Interested candidates should ensure their applications are submitted by the closing date of 30 December 2024.
Click on this link to apply: Apply Here
Clinix Health Group (Pty) Ltd offers an exciting opportunity for a qualified and experienced Billings Auditor to join their esteemed team in Johannesburg. This permanent position is crucial for ensuring the accuracy and compliance of hospital billing processes, directly impacting patient satisfaction and the financial integrity of the institution.
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With responsibilities ranging from detailed invoice management and trend analysis to rigorous audit compliance and private patient management, this role demands a meticulous and analytical professional equipped with the necessary technical skills and a solid background in both nursing and finance. The successful candidate will play a vital role in maintaining the quality and reliability of billing operations, making a significant contribution to the organization’s success.