Billings Auditor

A healthcare facility is seeking a Billings Auditor to ensure accurate and efficient billing processes while maintaining high standards of patient care and compliance. The role involves auditing patient files, managing billing systems, and optimizing revenue in line with contractual agreements.

Minimum Qualifications & Experience

• Diploma in Nursing
• 2-3 years of experience in a billings environment
• Advanced computer literacy
• Experience with SAP (advantageous)

Key Responsibilities

• Conduct billing audits in accordance with company standards and procedures.
• Ensure adherence to patient advocacy principles.
• Review and analyze billing reports to identify trends and implement corrective actions.
• Optimize hospital billing processes in line with medical scheme agreements.
• Perform End of Case processing on the approved system.
• Maintain accurate records of supplier invoices.
• Finalize invoices for private patients and ensure correct filing for collections.
• Audit patient files to ensure compliance with medical scheme contracts.
• Analyze reports for discrepancies and trends to support decision-making.