Group Patient Services Manager

Overview

Company description: The Clinix Health Group helps communities to live longer healthier lives through the provision of quality and affordable healthcare. The group provide integrated world-class healthcare systems both internally and externally to the broader ecosystem to become a trusted local citizen.

Job Title
:
Group Patient Services Manager

Location
:
Clinix Health Group - Hospital/s

Reports to
:
Chief Financial Officer

To take responsibility for overseeing the revenue cycle value chain from a Group perspective which includes identifying improvement opportunities to optimise billing to maximise revenue. This includes the reduction of the Groups financial risk by ensuring compliance to Group policies and procedures including contractual arrangements with Medical Schemes/ funders.

Minimum Qualifications

• Bachelor’s Degree in Nursing or equivalent qualification
• Registration in SANC
• Business Degree or Theatre/Critical Care Diploma will be advantageous

Minimum Experience

• Must have 5 – 7 years’ experience in a similar role
• Knowledge of ICD-10 and CPT coding
• Knowledge in Revenue Cycle management

• Effective Report Writing and Communication
• Critical problem-solving ability
• Advanced computer literacy
• Strategic Stakeholder Management
• Policy and SOP development

• Develop and implement a Group Strategy on short-payment management to improve cashflow
• Provide support to the Funder relations team as necessary
• Ensure that new tariffs and billing rules are loaded accordingly on the approved system
• Provide support to PSMs at hospital level to ensure CHG standards and targets are met
• Ensure compliance to Group working procedures and assist hospitals to develop hospital specific services areas
• Review revenue (RPPD) and debtors’ days by analyzing reports received from Group Finance in terms of budget v actual revenue and address improvement opportunities with hospitals.
• In collaboration with relevant stakeholders, review services on SAP to ensure optimization of billings of services
• Implement effective controls to ensure accurate billing by:
• Driving the accurate and business billing process to ensure Patient Services metric targets are achieved
• Ensure accurate application and interpretation of specialized wards criteria.
• Set goals and standards for patient services managers across the group and monitor for adherence
• Develop and embed relevant revenue cycle management policies, processes and standards
• Leverage technology to automate and integrate the workplace; ensure system integrity
• Analyse data, and interpret the trends to inform sound decision-making and ensure contingency plans are in place
• Identify innovative ways to improve business practices, processes and synergies to save costs, increase efficiencies and improve service delivery
• Manage stakeholder relationships and quality of service delivery to ensure successful overall business results
• Sponsor company initiatives and projects as it relates to the Group Finance and Group Patient Services
• Demonstrate visible leadership in respect of company values, operating model and strategy
• Ensure good governance including the effective use of management systems to monitor compliance to business direction and policies
• Drive adherence to statutory standards, policies and procedures within the business unit to ensure compliance at all times and take remedial action where necessary