Billings Auditor Ad

SUMMARY:
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POSITION INFO:

Job Summary:
Billings Auditor
Clinix Dr SK Matseke Memorial & Tshepo – Themba hospitals
Patient Services Manager
To oversee the hospital’s billings process and ensure products and services received by patients aligns
with the Rand Value of the final bill. The incumbent performs detailed and accurate audits of patient files,
comparing the products and services received with the itemised bill in the context of the Company’s billing
requirements and contractual arrangements with Medical Schemes.
This is a short-term contract position, to begin in May 2025.
Minimum Requirements:
• Diploma in Nursing
• 5 years’ experience overall work experience in Billings environment
• Proficient in Billings Processes
• Proficient in Revenue Cycle Management
Minimum work experience:
• Access SAP reports daily, such as:
a. Billing status report
b. Released for final billing
c. Discharged not released
• Review and analyse reports as a management tool, in order to identify negative trends and
implement corrective action.
• Conduct sample audits on patient files to assess accuracy and general quality of the work
completed by the billings team; identify trends and deviations and implement corrective action.
• Verify charges completed by Departments and accurately check the final bill on the system.                                                                                                                             
• Ensure the accurate maintenance of supplier invoices.

• Engage proactively with Reception/Admissions, Case Management, Nursing and Pharmacy staff,
where applicable, to ensure the least delay possible in ensuring that invoices are final billed.
• Ensure timeous resolution of queries and complaints and take ownership of issues.
• Collaborate and build relationships with the various Departments in order to process the final bill
with as little delay as possible.
• Optimise the billing of products and services provided by the hospital and in line with Company
requirements and contractual arrangement with Medical Schemes.
• Comply with cost controls in order to achieve section budget.
• Analyse information and reports to identify trends, discrepancies and inconsistencies for
decision-making purposes.
• Escalate trends and deviations to relevant Departments and follow up to ensure corrective action
has been implemented