The Patient Administrator will improve operational efficiency, optimise financial performance, and enhance patient experiences.
The administrator will be responsible for all aspects of patient administration – admission, medical aid communication, authorisation, billing, and general administrative tasks.
The team member will have an obligation to clearly communicate with patients, assist the hospital in identifying financial and reputational risk at the frontline (Admissions), and ensure quality admissions by safeguarding correct, accurate, complete, and relevant patient data; ensure data integrity for use throughout the admission to receipt value chain and improve patient experience.
The team member will further be responsible for admissions and pre-admissions of patients, handling payments of private patients; co-payments, admit and discharge patients in a professional, friendly, and efficient manner, whilst creating and maintaining goodwill with all Doctors and their Reception team. The Patient Administrator will have a strong focus in the billing and stock control departments, ultimately being responsible for billing, revenue transactions, revenue processes, and applying policies within the billing team.
The tasks will be both financial and non-financial within the finance and billing team.
The team member will be required to work with integrated systems and software across functions.
Key Work Output:
- Compiling, quality checking, and processing of daily billing.
- Find resolutions to billing queries pro-actively.
- Liaise with all departments to ensure accurate and complete billing.
- Perform month-end processing.
- Assist private patients by preparing the Pre-payment estimate according to hospital guidelines using the approved documentation.
- Collect payments according to protocols and prepare financial registers daily, accountable for receipting functions as per policy.
- Maintain a well-run, professional, and patient-focused admission environment.
- Assist patients to accurately complete appropriate forms and documents for the required information.
- Perform general administration duties involved in the pre-admission of patients.
- Assist in resolving patient complaints according to Best Practices and monitor patient satisfaction in an effort to drive action plans for improvement.
- Identify and rectify non-compliance with business policies and procedures.
- Provide efficient and professional telephone services.
Requirements:
- Grade 12 or equivalent NQF level 4 qualification.
- A National Diploma or Relevant NQF 6 qualification in Administration will be advantageous.
- A minimum of 2-4 years Hospital Healthcare industry experience.
- A minimum of 2-4 years working in a medical practice.
- A minimum of 2-4 years' experience in the admissions processes in a private hospital environment.
- Billing background.
- Basic working knowledge of ICD and CPT coding.
- Knowledge of Medical Aid rules, limits, and processes.
- Proven track record and dedication to quality and superior customer service.
- Understanding of the Trimed system and Trimed management reports.
- Sound knowledge of NHN & ADV Billing and Tariff guidelines.
- Knowledge of Alternative Re-imbursement tariffs.
- Experience working with programmes like GoodX or Elixir would be advantageous.
- Strong systems knowledge and proficiency in business processes, compliance, and governance.
- Relevant computer proficiency (Microsoft Office).
- Good command of English, written and oral.
- Additional language skills would be advantageous.
- Ability to work well under pressure and to maintain effectiveness during changing conditions.
- Excellent planning, organising, and control.
- Must be customer care oriented.
- Must be able to use initiative to overcome day-to-day operational roadblocks.
- Attention to detail and accuracy.
- High level of professionalism.
- Deadline driven.
- Professional flexibility in working hours while supporting daily business hours.
- Great interpersonal skills.
- Own transportation.
- Ability to prioritise.