Patient Administration Manager – Royal Buffalo Specialist Hospital
📅 Date Posted: 07 April 2025
📆 Application Closing Date: 21 April 2025
📍 Location: East London, Eastern Cape
🗂 Contract Type: Permanent
🏥 Business Unit: Royal Buffalo Specialist Hospital
About the Company
Royal Buffalo Specialist Hospital is a premier private healthcare provider based in East London, Eastern Cape. Known for its commitment to patient-centered care, operational excellence, and modern medical practices, the hospital delivers specialist healthcare services in a supportive and innovative environment. As part of its continued growth and pursuit of healthcare excellence, the hospital is seeking a capable and experienced Patient Administration Manager to oversee its administrative and billing operations.
Role Overview
Reporting to the Finance Manager, the Patient Administration Manager will be responsible for leading, managing, and coordinating all functions related to patient administration. This includes reception, billing, case management, authorisations, medical aid claims, and collections. The successful candidate will ensure accuracy in financial and patient data, compliance with healthcare regulations, and superior service delivery, all while supporting the hospital’s strategic and financial goals.
Key Responsibilities
Administration Management
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Oversee the entire patient administration process, including reception, case management, medical billing, collections, and tariff structure management.
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Ensure accurate authorisations, tracking of length of stay (LOS), and timely identification of financial risks such as co-payments and exclusions.
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Investigate and resolve claims, rejections, and payment queries swiftly to minimise financial delays and risks.
Financial Coordination
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Process journals and financial adjustments where required.
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Reconcile the Debtors Control Account monthly, ensuring consistency and accuracy in financial records.
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Collaborate with medical aid funders to resolve discrepancies and maintain positive working relationships.
Reporting and Compliance
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Prepare and present month-end reports, statistics, and audit documentation.
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Participate in quarterly and annual stock-takes in collaboration with finance and clinical teams.
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Ensure complete compliance with internal policies, healthcare legislation, and industry best practices.
Team Leadership
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Manage and guide a team of patient administration professionals across all relevant functions.
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Provide ongoing training, development, and performance evaluations to ensure a high-performing and service-driven team.
Customer Service Excellence
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Ensure all administrative touchpoints within the hospital meet exceptional service standards.
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Address patient and stakeholder queries effectively and empathetically, balancing efficiency with professionalism.
Qualifications and Experience Required
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Registered Nurse (SANC registered) with ICU experience preferred.
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Minimum of 5 years’ experience in medical aid administration and hospital case management (ICD-10, CPT-4 procedure codes, and Per Diems).
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At least 2 years’ supervisory or management experience within a hospital or healthcare administrative environment.
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Knowledge of hospital billing systems, tariff structures, and private healthcare packages.
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ICD and CPT coding course certification highly desirable.
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Strong understanding of private healthcare operations and funder requirements.
Core Competencies
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Collaboration and Relationship Building: Fosters cooperative working relationships across departments.
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Analytical Thinking: Applies logic and data-driven insights to resolve financial and administrative challenges.
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Problem-solving and Judgement: Manages crises and issues with calm, sound decision-making.
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Report Writing and Communication: Delivers clear and professional reports and correspondence.
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Customer Responsiveness: Ensures patients and funders receive outstanding service and timely feedback.
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Planning and Organisation: Manages tasks and personnel efficiently in a busy environment.
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Resilience and Adaptability: Thrives under pressure and can respond effectively to changing priorities.
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Ethical Behaviour: Maintains integrity in handling confidential patient and financial information.
What the Company Offers
Royal Buffalo Specialist Hospital offers a supportive and professionally rewarding environment where leadership and innovation are encouraged. The successful candidate will be part of a dynamic and compassionate team committed to setting high standards in administrative excellence, ultimately enhancing the overall patient journey. Opportunities for career growth and continuous learning are key components of the hospital’s professional development approach.
Equal Opportunity Statement
Royal Buffalo Specialist Hospital is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. External candidates are welcome to apply. If you do not receive a response within two weeks after the closing date, kindly consider your application unsuccessful.
How to Apply
If you are a results-driven professional with a passion for healthcare administration, submit your detailed CV and supporting documents through the official career portal: https://jobsandcareeropportunities.co.za before 21 April 2025.
Explore More Opportunities
For more positions in healthcare administration, nursing leadership, and private hospital finance, visit https://jobsandcareeropportunities.co.za – your gateway to career growth in South Africa’s medical sector.
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