SUMMARY:
-
POSITION INFO:
Overview
Our Client in the Healthcare Industry is seeking a Patient Services Manager to join their team. The successful incumbent will be responsible for the management and co-ordination of patient services resources, processes and operations.
Minimum Requirements
- Grade 12 / Matric
- Relevant Nursing qualification, preferably Degree or Diploma as a registered nurse with proven Case Management and Coding Experience
- 5 years of relevant private healthcare industry and people management experience
- Current registration with the relevant professional/regulatory body
- Understanding the private healthcare industry, its challenges and role players would be an advantage
- Understanding the basic financial principles (i.e., budgets, credit management, planning)
- Driver’s license and ability to travel
Job Responsibilities
Ensure effective quality management and customer care:
- Monitoring and improving quality metrics
- Managing data integrity and compliance to the company's working procedures
- Developing and maintaining relationships with stakeholders
Ensure effective people management:
- Demonstrating visible leadership skills in respect of the company's values, operating models and strategies to support diversity and transformation
- Actively leading meetings and ensuring participation of all members to ensure ISO compliance
- Ensuring quality staff members are recruited to fill approved vacancies following the company’s transformation objectives
- Providing direction and inspiration to ensure staff are motivated and productive
- Managing and reviewing training plans that are compliant to the company's WSP requirements to enable talent development
- Managing the performance of staff through the performance improvement process
- Ensuring all transactional processing is complete to provide employee compensation and benefits
- Ensuring productive working relationships are supported with minimum IR issues
- Ensuring all exit interviews are conducted to ensure the retention of staff
- Managing people in a manner that respects diversity and ensures a fair work-life balance to ensure employee wellness
Ensure effective and accurate billing:
- Driving the accurate and timely billing process to ensure DSO and Shaka targets are achieved
- Managing the bill auditing process to achieve accurate billing data
- Ensuring compliance with the clinical code of conduct to ensure the accurate interpretation of a patient event
Ensure effective interpretation and application of contracts and funder rules:
- Managing the admissions department to ensure that they comply with the funder rules
- Managing the collection of outstanding co-payments from patients
- Reducing and managing the risk associated with RSRT’s by making recommendations regarding patient-based data
Facilitating effective cash flow management:
- Implementing processes from pre-admission to submission of an account to ensure DSO targets are achieved
- Implementing cash management processes to prevent losses
Ensure effective operational capabilities:
- Managing and implementing business plans to ensure optimal functioning
Governance and risk management:
- Preparing and ensuring sound audit compliance to achieve optimum business ethics
- Participating and developing action plans within the risk management teams to implement the correct controls
- Support tip-off investigations
Key Competencies / Skills:
- Computer proficiency
- Problem-solving, analysis, and judgement
- Engaging diversity
- Verbal and written communication and presentation
- Excellence orientation
- Building relationships
- Customer responsiveness
- Organisational awareness
- Ethical behaviour
