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Billings auditor

Soweto
Salary: Market Related
Job Type: Permanent
Sectors: Medical
Reference: 127300

Apply before Apr 14 2025 | 6 Days left

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Vacancy Details

Employer: Clinix Health Group (Pty) Ltd

Job Title: Billings Auditor

Location: Clinix Tshepo Themba Private Hospital

Reports to: Patient Services Manager

Job Summary:

To oversee the hospital’s billings process and ensure products and services received by patients aligns with the final bill. Perform accurate audits of patient files, comparing the products and services received with the itemized bill in the context of the Company’s billing requirements and contractual arrangements with Medical Schemes.

Minimum Qualifications and experience:

Nursing Diploma
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 Clinix Health Groups standard and procedure.
Adhere to the principles and standards of patient advocacy according to the Clinix Health Groups
Review and analyze reports as a management tool, to identify negative trends and implement corrective action.
Audit patient files as per Company requirements (and standards) and in accordance with the Company contracts 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.
Adhere to reporting standards by analysing information and reports by identifying trends, discrepancies and inconsistencies for decision making.

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About Clinix Health Group (Pty) Ltd

When people ask how a Health Group as unique as ours has succeeded from the early 90's until now our answer is always the same: 'Success is a fine line between financial performance of the company and its contribution to healthcare in South Africa.'

In 1992 the company employed less than 5 people who led our first hospital Clinix Botshelong Empilweni Private Hospital to open its doors to the Vosloorus community in 1994. However, after 20 years our company now owns and manages six hospitals and employs approximately 2600 individuals that are working in our hospitals on a daily basis.

Clinix Health Group has managed to make a contribution not only to the communities that we serve but also to the healthcare industry as a whole. In the last year alone Clinix Health Group has admitted and treated more than 76 000 patients and delivered 3669 new-borns from the communities that we operate in and their surrounding areas.

Our relationship with government also makes us sure that we are helping improve the quality of healthcare in South Africa.

We'd like to thank all our stakeholders who have helped us to get to this chapter of our journey. Clinix Health Group would not be such a great success without you.