Patient Services Manager

SUMMARY:
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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