The Patient Services Manager, based within a private hospital in East London, is responsible for the management and co-ordination of patient services resources, processes and operations, to achieve the quality, growth and people objectives in order to ensure the optimization of the hospitals profitability. 

Minimum requirements:

– Relevant clinical qualification (Nursing Diploma / Degree)

– Registered Nurse or Enrolled Nurse with proven Case Management and Coding Experience

– 5+ years experience in private healthcare, including leadership, change and people management experience

– Current registration with relevant professional / regulatory body

– Understanding of relevant and current legislation as well as the knowledge or ability to learn medical terminology, CPT/ICD coding, technical and clinical concepts and patient services business processes

– Understanding of private healthcare sector

– Understanding of basic financial principles

– Driver’s license and ability to travel

Overview of key areas of responsibility: 

– Effective quality management and customer care

– Effective people management

– Effective and accurate billing

– Effective interpretation and application of contracts and funder rules

– Facilitate effective cash-flow management

– Effective operational capabilities

– Governance and Risk Management

Ensure effective quality management and customer care by
• Monitoring and improving quality metrics
• Managing data integrity and compliance to the organization’s working procedures
• Developing and maintaining relationships with stakeholders

Ensure effective people management by
• Demonstrating visible leadership skills in respect of the organization’s values, operating models and strategies in order to support diversity and transformation
• Actively leading meetings and ensure participation of all members in order to ensure ISO compliance
• Ensuring quality staff members are recruited to fill approved vacancies in accordance with the company’s transformation objectives
• Providing direction and inspiration to ensure staff are motivated and productive
• Managing and reviewing training plans that are compliant to the organization’s WSP requirements in order to enable talent development
• Managing the performance of staff through the performance improvement process
• Ensuring all transactional processing is complete in order to provide employee compensation and benefits
• Ensuring productive working relationships are supported with minimum IR issues
• Ensuring all exit interviews are conducted in order to ensure the retention of staff
• Managing people in a manner that respects diversity and ensures a fair work-life balance to ensure employee wellness

Ensure effective and accurate billing by
• Driving the accurate and timeous billing process to ensure DSO and relevant targets are achieved
• Managing the bill auditing process in order to achieve accurate billing data
• Ensuring compliance with the clinical code of conduct to ensure the accurate interpretation of a patient event

Ensure effective interpretation & application of contracts and funder rules by
• Managing the admissions department to ensure that they comply with the funder rules
• Managing the collection of outstanding co-payments from patients
• Reducing and managing the risk associated with RSRT’s by making recommendations regarding patient based data

Facilitating effective cash flow management by
• Implementing processes from pre-admission to submission of an account in order to ensure DSO targets are achieved
• Implementing cash management processes to prevent losses

Ensure effective operational capabilities by
• Managing and implementing Patient Services business plans in order to ensure optimal functioning

Governance and risk management
• Preparing and ensuring sound audit compliances to achieve optimum business ethics
• Participating and developing action plans within the risk management teams to appropriate the correct controls
• Support tip-off investigations