Purpose of the Job
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
Job Objectives Process:
Efficient and integrated revenue cycle management
Develop and implement a Group Strategy on short-payment management to improve cashflow
Implement funder contracts pertaining to the revenue cycle and monitor compliance
Identify training needs for the revenue cycle department and provide training
Provide support to the Funder relations team as necessary
Ensure that new tariffs and billing rules are loaded accordingly on the approved system
Ensure the monitored addition of new CPT / ICD coding onto the group approved system
Assist in implementing relevant systems and modules at hospital levels
Monitor the EDI report to ensure all queries have been resolved and all cases are End of Case
Provide support to PSMs at hospital level to ensure group standards and targets are met
Ensure compliance to Group working procedures and assist hospitals to develop hospital specific services areas
Ensure PSMs at hospital level provide adequate support to hospital managers to monitor and enforce the use of mobile billing
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

Qualifications
Bachelor’s Degree: Nursing Business Related Degree
Diploma Theatre or Critical Care
Role Specific Knowledge Required Level
ICD-10 and CPT Coding
Revenue Cycle management Expert
Effective Report Writing and Communication
Critical problem-solving ability
Advanced computer literacy
Strategic Stakeholder Management
Policy and SOP development
Experience
5-7 years’ experience as a Patient Services Manager
Registration
Legal / Professional registration required
Registered Nurse
Personal Competencies
Partnering Teamwork
Organisational Awareness Attention to Detail
Interactive communication Business Perspective
Applicant Feedback Policy
Sotina Recruitment endeavours to provide feedback to all candidates whenever possible. However, if you do not hear from one of our Recruiters within 30 days, please accept that your application was unsuccessful