Hospital Billing Auditor

SUMMARY:
Well known private hospital group requires an experienced Billing Auditor to join their team.

POSITION INFO:
The Billings Assessor / Auditor will promote and deliver quality patient care and wellness in accordance with industry standards and to execute billings
Auditor’s duties within the standards, procedures and protocols set down

Minimum Qualifications and Experience
The Billings Assessor / Auditor will promote and deliver quality patient care and wellness in accordance with industry standards and to execute billings
Auditor’s duties within the standards, procedures and protocols set down
Diploma Nursing
2-3 years experience in Billings environment
Advanced Computer Literacy
SAP will be an advantage

Minimum Duties
Perform Billings Auditing duties in accordance with the standard and procedure
Adhere to the principles and standards of patient
Review and analyse reports as a management tool, in order to identify negative trends and implement corrective action
Optimize the billing of products by the Hospital and in line with company requirements and contractual arrangement with Medical Schemes
Perform End of Case on the approved system
Ensure the accurate maintenance of supplier invoices
Efficient management of Billing processes by Specific to private patients, final bill invoices on the SAP system as ‘paper’ claim and forward patient files to the collections department for further management
Audit Patient files as per Company requirement and in accordance with the Company contracts with Medical Schemes.
Adhere to reporting standards by analysing information and reports by identifying trends, discrepancies and inconsistencies for decision making