Mwaiwathu Private Hospital invites applications from suitably qualified persons to
fill the above-mentioned position. The position will report to the Hospital Services Manager.
Duties and Responsibilities
- Overseeing the operations of the billing department ensuring charges are captured, claims are submitted and follow ups are made in a timely fashion.
- Analyzing billing and claims for accuracy and completeness and ensuring submission of accurate claims to proper insurance entities and following up on any issues.
- Ensuring that activities of the billing operations are conducted in a manner that is consistent with overall department protocol and are in compliance with the payer’s regulations, guidelines, and requirements.
- Supervising billing staff which includes work allocation, training, problem resolution, evaluating performance and making recommendations for staff actions that would motivate staff to achieve peak productivity and performance.
- Reviewing and resolving issues related to claim generations, rejected and denied billings.
- Participating in the development and implementation of operating policies and procedures.
- Analyzing trends impacting charges, collection of accounts receivable and take appropriate action to realign staff and revise policies and procedures
- Coordinating team member time off in a manner that does not negatively impact necessary daily functions.
- Appropriate and professional communication with insurance entities and patients on issues of bills.
- Maintaining contacts with other departments to obtain and analyse additional patient information to document and process bills.
- Timely production of periodic reports to management that are used for decision making.
- Weekly, monthly, quarterly and annual production of reports to management that are used for decision making.
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Any other duties as assigned from time to time.
Qualifications and Skills
- A University Degree in Business Administration, Management, Economics, Accounting, Health Systems Management and/or Health related field.
- Specialized computer knowledge of Microsoft operating systems and Microsoft office ware
- Expert knowledge of billing software programs like trimed and pastel
- Health care billing, experience in claims processing, handling and collections experience in a medical practice or health system
- Problem solving abilities and a strong presence of mind
Requisite knowledge, Abilities and skill
- Strong computing skills and an ability to learn new computing systems fairly and quickly.
- Sound presentation and training skills as the billing manager is responsible for training staff.
- Strong Mathematics skills.
- Excellent communication skills and team working
- High level attention to detail and Accuracy
- High level Integrity and honesty
- Good command of English and fluency in other Malawian local languages
Key Performance Areas (KPA)
- Days in receivables outstanding(DRO)
- Receivables Outstanding over 30 days
- Net collection rate
- Cash revenue
METHOD OF APPLICATION
Those who meet the above requirements should send their cover letter, a detailed Curriculum Vitae with names and active e-mail, contact phone numbers and addresses of at least three traceable referees; and copies of relevant certificates by Friday 06 December, 2018 to:
The Medical Director
Mwaiwathu Private Hospital Limited
P.O Box 3067
Blantyre
Email: mdpa@mwaiwathuhospital.com
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