Abongile Qasana

• Finance Fees Department: Non-Medical Aid:

DUTIES:

• Correspondence: Dealing with Patient queries (Telephonically and Personally)
• Reassessing Patient Accounts according to income (UPFS)
• Adjustments and Tariff adjustments
• Suspensions (Suspending accounts)
• Printing and Posting of invoices to debtors
• Completing of Attendance forms and attaching them to applicable accounts
• Listing certain accounts for write-off / notifying various debt collectors
• Requesting of folders via Clinicom system for accounts queries
• Assist with finance allocation of hospital monies
• Create payment arrangements on Accounts Receivables system
• Raising invoices as per hospital fees policies
• S-HOLD on AR
• Checking and correcting of invoices as per UPFS and Billing requirement
• Drawing up Spreadsheets for submission to SANDF / Defense Force for payments
• Working directly with Admissions when needing information on Patients
• understanding of RAF (Road Accident Fund), MVA (Motor Vehicle Accidents), IOD (Injury on Duty), Estate late accounts
• Capturing BAS (Basic Accounting System) receipts, reconciling money banked daily
• Pairing off deposit slips with BAS receipt batches and filling of it
• Checking payments that were done via electronic transfers by debtors after which their invoices need to be credited on Billing system
• Reconciling payments with outstanding invoices which must be credited by creating payment batches on billing system

Credit balances: Medical Aid Accounts Processing

• Investigate and clearing of credit balances on ACCOUNT RECIEVABLE SYSTEMS (AR) as per finance instruction G24/2007
• Communicate with different medical aid scheme vai email and telephonically for payment reversal.
• Create rate changes and adjustments batches on billing system when required so
• Clear all RAF credit balances and submit to head office
• Medical Aid Section: Resolve all disputes on outstanding accounts with patients/debtors timely.
• Draw monthly schedule for account raised and prepare refund requisition.
• Check and correct invoices for submission to medical aids, capturing remittance and reconcile all claims.
• Check EDI rejected claims report and do corrections for submission to medical aids, go through age analysis daily.
• Follow-up all outstanding accounts on medical aid schemes and patients after rate changes done.
• Monitor and reconcile monthly medical aid statements for prompt payments
• Liaise with medical aid regarding short-payments and unsettled accounts
• Resubmit or paper claims to medical aids to prevent stale claims.
• Contact Case Management regarding updates and authorization of length of stay on accounts and submit with motivation letter.
• Obtaining Authorization numbers from Medical Aids
• Knowledge of Hospital Tariff Codes
• Loading and Look-up of ICD 10 Diagnosis Codes

C15 MEDICAL EMERGENCY AND C14 TRUAMA UNIT RECEPTION:

• Draw monthly schedule for account raised
• Knowledge of Hospital Tariff Codes
• Loading and Look-up of ICD 10 Diagnosis Codes
• Create new folders for walk in emergency patients
• Working with EMS ambulance transport movements of patients
• Admit and discharge patients vai clinicom, patient disposals.
• Appropriate knowledge of HECTIS
• Report MVA TO AFACT hotline
• Clear JAC system files pharmacy system by attending to all non-attended visits on clinicom
• Check in patient folder if medication was dispensed
• Engaging with doctors and nursing staff
• Request folder on clinicom
• Casenote tracking
• Attend meetings and in-service training as scheduled
• Ensuring a safe environment in all areas of unit through staying up to date with safety standards and protocols
• Knowledge of emergency plans and actions
• Elimination of medico legal risks through correct identification and filing of patient’s documentation
• Maintenance of positive appearance and behavior, within and outside hospital relation
• Friendly and helpful client service
• Live up to Quality principles
• Professional secrecy and discretion during contact with customers and colleagues
• Ensuring of effective communication between customers and colleagues
• Cashier functions, create payment transaction, responsible for safe, handover cash.

• Distribute medical charts to appropriate departments o hospital
• Draw patient folders and book them on clinicom
• Deliver loaned folders to hospital clinics and wards
• Completing relevant Clinicom System transactions
• Administration of stock and consumables
• Information management; ensuring timeous submission of stats
• Collect folders from hospital clinics and wards to medical records
• Filing of patient folder accurately to banks
• Ensure patient charts, paperwork, and reports are completed in accurate and timely manner
• Keep all medical records yellow file clean and confidential and protected
• Accurate filling of X-rays, clinical notes and transport sheet and other case notes
• Trace lost and old patient folders
• Maintain n and prepare patient folders and X-ray packets
• Render effective and efficient medical records services which will require physical fitness
• Supply nursing department with appropriate documents and forms when requested vai clinicom
• Solve missing folder queries
• Create duplicate files
• Complete clerical duties including answering phones, responding to emails, and processing patient admission and discharge records.

• Monitor financial transactions. Process bills, checks, receipts and invoices
• Ensure all documents are properly signed and distributed
• Verify financial and other data (e.g. tax identification numbers
• Enter data and maintain updated records
• Assist with account reconciliations
• Communicate with vendors, customers and colleagues
• Report the status of accounts and discrepancies
• Monitor, analyze, report on and distribute monthly debt management reports.
• Prepare and capture journals and request relevant financial reports on BAS
• Capture revenue budget on BAS (Original and Adjustments budgets)
• Completes payments and controls expenses by receiving, processing and verifying.
• Charges expenses to accounts and cost centers by analyzing invoice/expense reports; recording entries
• Pay vendors by monitoring discount opportunities, verifying, scheduling and preparing checks, and resolving purchase order, contract, invoice, or payment discrepancies and documentation
• Issues stop-payments or purchase order amendments
• create purchase order numbers
• Verifies vendor accounts by reconciling monthly statements and related transactions
• Voucher control
• Reconciliation of BAS, BAS/SAP and BAS/PERSAL systems

• English 1st Language HG
• Accounting SG
• Mathematics SG
• Business Economics SG
• Xhosa HG
• History HG

• Taxation 3
• Auditing 3
• Cost Accounting 3
• Business Information Systems 3
• Commercial Law 3
• Accounting 3