The Billings Clerk will be responsible to timeously assess all patient accounts before submitting them to Medical Aids or patients for payment. They will be responsible for, but not limited to ensuring:
Correct admission and discharge times and dates.
That all applicable PAR numbers and ICD/CPT codes appear on the account.
That the correct ward fees are charged for the whole period that the patient was in hospital eg: ICU/highcare tariffs.
The correct per diem fees are charged for maternity, ARS contracts and COID patients.
Correct and applicable fees are charged for casualty, and outpatients.
Correct theatre time and fee has been charged.
The theatre time reconciles to the time charged for gases.
That all applicable equipment fees and / or modifiers are charged in the wards and theatre as per actual use.
That the pharmaceuticals (ethical and surgical) charged are appropriate for the procedure/ diagnosis detailed.
That the credits are processed prior to releasing the account for final billing.
That all TTO medication has been flagged on the account.
Accurate auditing of prosthesis invoices
Final authorisation and billing of accounts.
Knowledge and application of ARS contracts.
To manage associated administrative tasks.
Staying abreast of changes and the ability to implement changes effectively
Grade 12 or equivalent NQF level 4 qualification
Minimum of 3 years’ experience using Scale of Benefits and ARS contracts
Knowledge of Medical Aids
Experience in a Private Hospital environment would be advantageous
