Bill Auditor

Overview

A vacancy exists for a Bill Auditor based at Life Peglerae Hospital reporting to the Patient Services Manager , Suzette van Rensburg. The successful candidate will be responsible for managing the financial and clinical risks of the business unit by conducting retrospective audits of patient documentation, in order to identify and highlight areas of weakness, recommend corrective action and monitor effective implementation thereof, in support of the company objectives and strategy.

Responsibilities

• Effective delivery of quality customer care
• Evaluate data accuracy to identify deviations and make recommendations for corrective action, implement and monitor same
• Analyse data trends relating to rejections and short payments etc.
• Develop and maintain sound relationships with internal customers to achieve co-operation and compliance with audit processes
• Compile and maintain a bill audit file containing copies of documentation as per LHC protocols
• Audit pre-set number of files according to Life standards, in order to achieve monthly target
• Complete a bill audit template on each file audited
• Complete the relevant Toolkits and any updates where required
• Complete, successfully, the LHC coding course and achieve a set pass rate
• Analyse results and make recommendations
• Compile and submit a monthly bill audit report, report in relevant meetings
• Retrospective clinical auditing of claims and rejected accounts and active engagement with funders
• Equipment invoicing auditing
• Expedite the cash flow management
• Redirect workflow to a single responsible party to manage the funder rejections and relieve case management effort
• Refocus on formulary compliance and trends analysis on increased benefit limitations and protocols
• Analyse trends to identify deviations, report on and influence Stock Controllers & Billing Clerks through presentations and discussions and training in monthly RSRT meetings & bill audit reports

Qualifications and requirements

Competencies

Contact : Email

Closing date : Monday, September 22, 2025

Internal applicants - Before making an application, you are requested to discuss your application with your line manager. External candidates will also be considered.

Life Healthcare is an Equal Opportunity Employer.

Thank you for your interest in this opportunity. Kindly note that only shortlisted candidates will be contacted. Applicants who have not been contacted within two weeks of the closing date of this advert, should consider their application as unsuccessful.

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