Salary: R237 453 per annum
Centre: Head Office, Cape Town
Requirements
Minimum educational qualification: Senior Certificate (or equivalent) with Mathematics and/or Accounting as a passed subject and/or Senior Certificate
(or equivalent) with experience/competencies that focuses on the Key Performance Areas (KPA’s) of the post.
Experience: Appropriate experience on working on a computerised system i.e. ARS, BAS, Accounting system, MS Office.
Appropriate experience with COID claims administration. Appropriate experience working on ARS.
Appropriate experience working on BAS, i.e. capturing journals.
Practical working experience of the CompEasy system.
Inherent requirement of the job: A valid (Code B/EB) drivers’ licence.
Willingness to travel and spend periods away from the office.
Competencies (knowledge/skills): Knowledge of In-Hospital Patient fees or in a health-related claims environment, Claims submission to State Departments, HIS (Health
Information system)/Accounts Receivable System.
Knowledge of the Hospital Fees policies and procedures.
Knowledge of UPFS tariff structures.
Ability to assist hospital fees staff with the processing of IOD claims on CompEasy.
Ability to perform billing related transactions for State Departments i.e.
RAF (Road Accident Fund), SANDF (South African National Defence Force), SAPS
(South African Police Services), DCS (Department of Correctional Services) and COID (Compensation for Injury on Duty).
Computer literacy in Microsoft Office applications (Word, and Excel).
Duties
Monitor the submission of COID claims to the Compensation Fund (CF).
Ensure that all claims meet the criteria of the CF.
Identify hospitals who failed to submit claims.
Monitor and follow up on outstanding payments from the CF.
Draft updated guidelines for the submission of claims to the CF.
Journalize payments to the hospitals and prepare payment file for bulk payment allocation on ARS.
Monitor the unallocated payments in the Payables Advance Account and ensure that the payments are allocated to the relevant hospitals within 30
days of receipt.
-Ensure that payments received for other directorates are transferred immediately.
Compile Revenue Status Management Report every month.
Ensure that all hospitals are registered on the CompEasy System.
Assist hospitals with the registration process and arrange assistance from the CF Office where you are unable to.
Arrange for training sessions and refresher training with the CF Office.
Arrange info sessions when new developments need to be introduced.
Arrange and set-up quarterly meetings with the CF Office.
Enquiries
Mr E Abrahams Tel No: (021) 483-6424
Applications
Applications are submitted online via http://www.westerncape.gov.za/health-jobs
(click “online applications”).