Medical Practice Manager (billing experience), Midstream - REFIMR060-PM
Core
Oversee day-to-day operations, financial oversight, and revenue-cycle management for a high-acuity orthopaedic trauma and reconstructive surgery practice, with a specific focus on Prescribed Minimum Benefits (PMB) and Injury on Duty (IOD/COID) claims.
Role type
Senior Practice Manager (Medical Administration)
Builds
Operational efficiency, compliant billing, and successful claim resolutions for a specialist surgical practice.
Domain
Healthcare / Orthopaedic Surgery / Medical Administration
Deliverable
client delivery | dashboards & analysis
Required skills
Practice management, PMB regulations and appeals, COID/IOD claims management, ICD-10 coding, medical aid billing, staff leadership, financial reporting, POPIA compliance, practice management software.
Preferred skills
Experience with Compensation Fund, trauma/surgical environment background, high-volume claims handling.
Technologies
Practice management software, electronic health record systems, billing platforms.
Responsibilities
Oversee daily practice operations and patient flow; manage and mentor administrative and billing staff; process PMB submissions, appeals, and disputes; manage the full COID claims cycle from intake to payment; handle medical aid billing and debt collection; monitor KPIs for turnaround times and rejections; ensure compliance with healthcare regulations and POPIA; maintain accurate medical records and financial reconciliation.
Seniority
Senior, hands-on IC