Billings auditor

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 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 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 analyzing information and reports, identifying trends, discrepancies, and inconsistencies for decision making.