Job Archives
| Applications are invited from suitably qualified individuals who meet the job requirements as set out below. | |
| JOB TITLE: | CASE MANAGER |
| REPORTING TO: | Patient Administration Manager |
| SERVICE GROUP/UNIT: | Finance |
| Key Responsibilities: | Patient Case Management Responsible for the case management process within the hospital.Interacts with medical schemes to ensure that authorizations are provided timeously.ICD 10 and CPT clinical coding as per policies of specialized wards criteria.Provides support for the management of alternative fee structures.Liaison with doctors on funder requirement when necessary.Continuous performance and quality management Interpretation and implementation of Scheme benefit rules.Optimizing of billing processes.Audit patient files for accurate accounts submission.Account release as per NHN billing guidelines, medical aid rules and contracted agreements.Daily report utilization and management. Communication: Liaise with Doctors regarding patient progress.Liaise with nurses in the wards and pharmacy staff.Liaise with Case Managers of managed care organization regarding pre-Authorizations, length of stay, level of care and other additional cases. |
| Minimum Qualifications & Experience: | Matric/Grade 12 Certificate. Registered with South African Nursing Council as an Enrolled Nurse or Professional Nurse will be a recommendation. Must have ICD10 coding and CPT coding qualification. Must have at least 2 years of relevant work experience in private healthcare environment.Knowledge and experience with account billing and ARM agreements.Proven Computer Literacy Skills (MS Office Package)Knowledge and Experience in administering medical and managed care processes.Good interpersonal and communication skills. |
| Application criteria: | Applications can be submitted to the HR office or via email at: hr@kiaathospital.com / recruitment@kiaathospital.com. For Hand Deliveries: 1 Kiaat Ridge Boulevard Required documents: Application letter, CV, recently certified copies of academic certificates, ID and valid SANC certificate (if applicable). No late applications will be accepted. |
| Closing date: | Friday, 19 April 2024 Time: 16h00 |
| Enquiries: | Please direct all your enquiries to Charles Shiba, Human Resources Manager at 013 492 0390. |
| Applications are invited from suitably-qualified KPH employees who meet job-specific requirements set out below. | |
| REPORTING TO: | BILLING AND ADMINISTRATION MANAGER |
| DEPARTMENT: | FINANCE |
| Key Responsibilities | Receive patients and process Admissions and Discharges. Request authorization from medical schemes for hospital admissions. Collect levies, co-payments and any other monies due to the hospital. Ensure accurate filing and record keeping of patients’ information. Liaise with nursing and other relevant stakeholders regarding admissions and discharge of patients. Administer patient movement system. Administer patient transport system. Operate main switchboard – receive and transfer calls. Capturing of pre-admissions and preparation of theatre bookings. Perform duties as stipulated for sessional room doctors if required. Daily ad hoc tasks as delegated by the Manager. |
| Qualifications & Experience: | Matric/Grade 12 Certificate. Post matric qualification in administration or other relevant field. Good computer skills. Excellent communication skills. Good interpersonal skills and customer care skills. At least 1-2 years in private healthcare environment with knowledge of medical aid rules, account types and NHN admission guidelines with regards to DSP’s. Knowledge and experience in ICD10 coding would be an added advantage. |
| Application criteria: | Employees who are interested in applying for this position must submit an application letter, CV, Valid certified copies of ID and academic certificates to the HR office. No late applications will be accepted or considered. Incomplete applications will not be considered. Applicants will be required to complete a written examination. |
| Closing Date & Time | Tuesday 23 April 2019 Time: 15H00 |
| Enquiries: | Please direct all your enquiries to the HR Department |
| Applications are invited from suitably-qualified candidates to fill a vacancy in the Finance Department. | |
| REPORTING TO: | BILLING AND ADMINISTRATION MANAGER |
| DEPARTMENT: | FINANCE |
| Key Responsibilities: | Patient Case Management: Responsible for the case management process within the hospital. Interacts with medical schemes to ensure that authorizations are provided timeously. ICD 10 and CPT clinical coding as per policies and procedures. Ensures accurate application and interpretation of specialized wards criteria. Provides support for the management of alternative fee structures. Liaison with doctors on funder requirements when necessary. Continuous performance and quality management. Interpretation and implementation of scheme benefit rules. Maintains client service principles to ensure client expectations are met. Optimizing of billing processes. Auditing of patient files for accurate account submission. Account release as per NHN billing guidelines, medical aid rules and contracted agreements. Daily report utilization and management. Communication: Liaise with Doctors regarding patient’s progress. Obtain Doctor’s motivation for appropriate managed care. Liaise with nurses in the wards and pharmacy staff. Advise patients regarding limitations or restrictions on medical aid fees and length of stay. Liaise with Case Managers of managed care organisations regarding pre- authorisations and additional care. |
| Job Requirements/Criteria | Matric/ Grade 12 Certificate Registered with South African Nursing Council as an Enrolled Nurse or Professional Nurse. Must have ICD10 coding and CPT coding qualification. Must have at least 2 years of relevant work experience in private healthcare environment. Knowledge and experience with account billing and ARM agreements. Proven Computer Literacy skills(MS Office package) Knowledge and Experience in administering medical and managed care processes. Good Interpersonal and communication skills |
| Application criteria: | Employees who meet the above criteria and are interested in applying for the position must submit an application letter, CV, certified copies of ID copy and academic certificates to the HR office. No late applications will be accepted or considered. |
| Closing date | Tuesday 30 April 2019 Time: 15H00 |
| Enquiries: | Please direct all enquiries to the HR Department |
