Billing Assistants-Specialized Hospital (HEALTH)
Key Performance Areas
Identify and record Medical Aid patients treated in all service points including staff clinic. Manual \ System recording of patients referred by the Department of Justice (DoJ) Obtain relevant documents required for submission of claims to Department of Justice and patients covered by medical schemes. Billing of all services rendered to patients in the allocated area of responsibility in line with the Uniform Patient Fee Schedule, relevant procedures and prescripts. Timeous packaging and submission of hospital claims to the Provincial office. Maintain updated debtors’ book and records relating DoJ Claims. Timeous billing and submission of hospital claims to the various medical aid schemes. Follow-up on outstanding accounts and remittances in line with applicable procedures Perform daily reconciliation of payments received against the individual debtors in the system /manual. Provide any other revenue related financial administrative functions as required from time to time. Timeous compilation and submission of required reports.
Prerequisites
A Senior Certificate [Grade 12] plus a minimum undergraduate qualification in Financial Management/Accounting or equivalent financial related qualification at NQF level 6 or above as recognized by the South African Qualifications Authority [SAQA]. Some experience in revenue management and billing in health environment will be an added advantage. Computer literacy in MS Outlook, Word, Excel and PowerPoint; and Virtual meeting platforms literacy
Person Profile
An understanding of public sector Financial Management and the provisions of PFMA, Treasury Regulations and related prescripts.
Intermediate or advanced skills in MS excel.
Ability to accept accountability and responsibility and to work independently unsupervised.
Able to work with multidisciplinary teams within the revenue value chain.