The Bill auditor will be responsible for assessing patients’ files for accurate accounting with scale of benefits and ARM Contracts, assisting the Quality Review & oversee the bill audit process.
Grade 12 or equivalent NQF level 4 qualification
Nursing qualification advantageous
3 years working experience in the same position
Working experience in private health or health care funding industry will be advantageous
Working experience on SAP will be advantageous
Previous Billing Auditor experience will be advantageous
Intermediate computer skills (Excel and Word)
Excellent Interpersonal and communication skills
Minimum three years’ experience using Scale of Benefit and ARM
Assessment of patients’ files to ensure that all surgical, ethics, gases and equipment are recorded on account as per actual use
Assessing of accommodation
Application of ARM contract
Effective auditing of ICD and CPT codes and accounts
Cope well under pressure
Work late on month end or as requested by Patient Service Manager
Ensure that all accounts pertaining to specific months are billed and unbilled cases are monitored
Manage the medikredit screen
Manage the billing rejection with TAT
Monitor the number of accounts billed per day and the values thereof on a tracker report
Cross walk equipment’s invoices from creditors to maintain correct billing
Active participate as a member of team to achieve goals
Active involvement in own professional development to maintain a satisfactory level of skills and knowledge
Keep up to date with evolving policies and procedures
To oversee the file assessor within the department
