Job Summary
We’re in search of a highly skilled and meticulous Hospital Billing Manager to lead and supervise the hospital’s billing operations, revenue cycle processes, and accounts receivable management throughout the Group.
The ideal candidate will design, deploy, and oversee standardized billing systems and processes, ensuring uniform, streamlined, and error-free operations while maintaining full regulatory compliance across all facilities.
Oversee a comprehensive range of critical tasks, ensuring alignment with organizational objectives and operational standards. Implement and execute strategic initiatives designed to enhance productivity, efficiency, and overall performance. Serve as a primary point of accountability for managing key projects, fostering collaboration across departments, and driving measurable outcomes. Maintain rigorous adherence to policies, compliance requirements, and industry regulations to uphold organizational integrity. Analyze performance metrics and data to identify trends, opportunities for improvement, and areas requiring intervention. Provide clear, actionable insights and recommendations to senior leadership to support informed decision-making. Foster a culture of continuous improvement by mentoring teams, delegating responsibilities effectively, and cultivating professional development opportunities.
Design, deploy, and enhance standardized billing systems, policies, procedures, and internal controls to ensure consistent and accurate financial operations across all Group facilities.
Oversee the consistent implementation of billing protocols and revenue cycle processes across the entire Group.
Oversee all hospital billing operations, encompassing patient billing, corporate billing, and HMO billing.
Accurate creation, verification, and submission of invoices and claims must be ensured.
Monitor and enhance the revenue cycle process to boost collections, decrease claim denials, and prevent revenue loss.
Perform regular billing audits and compliance assessments to detect discrepancies and enact necessary improvements.
To ensure accuracy, you will review and align billing records with data from clinical, pharmacy, laboratory, and finance departments. This role requires meticulous coordination and verification across these key operational areas.
Monitor outstanding claims, delinquent invoices, and contested accounts to facilitate timely resolution.
Compile and present periodic billing, collections, revenue, and performance reports for review by senior management.
Guarantee adherence to healthcare billing standards, contractual obligations, regulatory mandates, and organizational policies.
Collaborate with HMO’s, corporate clients, and key stakeholders to address billing inquiries, perform reconciliations, and finalize account settlements.
Evaluate and implement strategies to enhance process optimization, automation, and operational effectiveness within the billing function.
Thoroughly examine and address billing discrepancies, patient complaints, claim rejections, and any deviations from established procedures to ensure accuracy and compliance in financial and operational processes.
Facilitate internal and external audit processes by preparing and furnishing all necessary documentation upon request.
Must possess a Bachelor’s degree in Computer Science, Engineering, or a related technical field. Demonstrates proficiency in Python, Java, or C++ programming languages. Requires 3+ years of relevant work experience in software development. Familiarity with web frameworks such as Django or Flask is essential. Experience with database management systems like MySQL, PostgreSQL, or MongoDB is mandatory. Strong problem-solving skills and the ability to work collaboratively in a team environment are crucial. Excellent communication skills, both written and verbal, are necessary to convey technical concepts effectively.
A Bachelor’s Degree in Accounting, Finance, Business Administration, Health Information Management, or a closely related field is required.
Seeking candidates with three to five years of professional experience in healthcare billing, revenue cycle management, or hospital accounts management, including at least two years in a leadership or oversight capacity.
Proven expertise in designing, deploying, and optimizing billing systems, establishing robust policies, and creating effective performance frameworks.
A comprehensive knowledge of HMO operations, claims administration, healthcare billing protocols, and revenue cycle optimization is required.
Demonstrates strong competency in Electronic Medical Records (EMR) systems, Microsoft Excel, and other pertinent software platforms.
Demonstrates exceptional proficiency in analytical reasoning, organizational management, and strategic problem-solving.
Proven expertise in clear, concise communication, skilled negotiation tactics, and adept stakeholder management.
Proven capability to champion compliance initiatives, establish standardized procedures, and enhance operational processes across diverse sites.
Maintains an exceptional standard of integrity, precision, and meticulous attention to detail.
Preferred Qualifications include a Bachelor’s degree in Business Administration, Finance, Accounting, or a related field, along with three to five years of progressive experience in financial analysis, budgeting, or corporate finance. Proficiency in Excel, including advanced functions and financial modeling, is required, and familiarity with ERP systems such as SAP or Oracle is highly desirable. Strong analytical skills, attention to detail, and the ability to interpret complex financial data are essential. Excellent communication abilities, both written and verbal, are necessary to present findings effectively to stakeholders. Candidates should also demonstrate problem-solving acumen and the capacity to work collaboratively in a fast-paced environment.
Professional certification in Accounting, Finance, Health Information Management, or Revenue Cycle Management is highly advantageous.
Candidates should possess prior experience collaborating within a multi-site healthcare organization or hospital system.
Proven expertise in strategic planning, problem-solving, and analytical thinking to drive organizational success. Strong proficiency in project management, with the ability to oversee multiple initiatives while maintaining high standards of efficiency and quality. Excellent communication and interpersonal skills to collaborate effectively with cross-functional teams and stakeholders. Demonstrated leadership qualities, including the capacity to inspire and mentor teams toward achieving shared objectives. A commitment to innovation and continuous improvement, coupled with a results-driven mindset to meet and exceed performance targets. Familiarity with industry best practices and compliance standards to ensure operational excellence and risk mitigation.
Billing systems development and standardization involve designing, implementing, and optimizing financial billing processes to ensure accuracy, efficiency, and compliance with industry regulations. This role requires expertise in software development, database management, and system integration, along with a strong understanding of accounting principles and financial reporting standards. Responsibilities include collaborating with cross-functional teams to identify billing requirements, developing and maintaining billing software solutions, and ensuring seamless data flow between systems. Additionally, the position demands proficiency in programming languages, proficiency in enterprise resource planning (ERP) systems, and the ability to troubleshoot and resolve technical issues promptly. Strong analytical skills, attention to detail, and effective communication are essential for success in this role.
Revenue Cycle Management encompasses the comprehensive oversight of financial processes spanning patient registration through final payment collection. This role demands meticulous attention to detail to ensure accurate billing, efficient claims processing, and compliance with regulatory standards. Key responsibilities include verifying insurance eligibility, submitting claims to payers, reconciling accounts receivable, and addressing denials or discrepancies promptly. Proficiency in billing software, strong analytical skills, and a thorough understanding of healthcare reimbursement methodologies are essential. Candidates should exhibit exceptional organizational abilities, effective communication, and a commitment to maintaining financial integrity within the revenue cycle.
The role involves overseeing financial reporting and conducting in-depth analysis to ensure accuracy, compliance, and strategic insights. Responsibilities include preparing and reviewing financial statements, managing audit processes, and delivering actionable recommendations to senior leadership. Proficiency in financial software, advanced Excel skills, and strong analytical abilities are essential. Experience with GAAP or IFRS standards, along with a degree in Accounting, Finance, or a related field, is required. Exceptional communication and organizational skills are also necessary to present complex data clearly and meet deadlines efficiently.
Claims processing and reconciliation involves systematically verifying, validating, and resolving discrepancies in insurance or financial claims to ensure accuracy, compliance, and timely reimbursement. This role requires meticulous attention to detail to identify errors, discrepancies, or inconsistencies in claim documentation, policies, or accounting records. Professionals in this position must possess strong analytical skills to cross-check claim details against established guidelines, regulations, and internal controls. Additionally, they must effectively communicate with claimants, insurers, healthcare providers, or other stakeholders to obtain necessary information or clarify discrepancies. Responsibilities may include reviewing claim forms, processing payments, updating records, and maintaining audit trails for compliance purposes. Proficiency in claims management software, spreadsheet tools, and regulatory frameworks is essential, along with the ability to work efficiently under tight deadlines while maintaining high levels of accuracy.
Compliance monitoring and auditing involves systematically evaluating an organization’s adherence to regulatory requirements, internal policies, and industry standards. In this role, professionals assess operational practices, identify potential risks or deviations, and ensure consistent compliance across all departments. Responsibilities include conducting routine audits, documenting findings, and recommending corrective actions to mitigate non-compliance issues. Strong analytical skills, attention to detail, and a thorough understanding of relevant laws are essential for success. Additionally, effective communication is required to report findings to stakeholders and collaborate with teams to implement necessary improvements.
We are seeking a dynamic professional to spearhead process improvement initiatives, driving efficiency and effectiveness across operations. The ideal candidate will analyze current workflows, identify pain points, and implement data-driven solutions to enhance productivity. They will collaborate with cross-functional teams to streamline procedures, reduce waste, and ensure adherence to best practices. Proficiency in process mapping, root cause analysis, and change management is essential, along with strong analytical and problem-solving skills. Familiarity with Lean, Six Sigma, or similar methodologies is a plus. This role requires excellent communication abilities to facilitate training and gain stakeholder buy-in. The successful individual will monitor performance metrics, report progress, and continuously refine processes to align with organizational goals.
Oversee and guide a cohesive team to achieve organizational objectives, fostering a collaborative and high-performance work environment. Provide mentorship and support to team members, ensuring alignment with company goals and professional growth. Develop and implement strategies to enhance productivity, efficiency, and innovation within the team. Monitor performance metrics, address challenges proactively, and facilitate continuous improvement through constructive feedback and development initiatives. Cultivate a culture of accountability, transparency, and mutual respect while managing resources effectively to meet or exceed targets.
The role involves analyzing data and overseeing performance management initiatives to drive organizational success. Responsibilities include collecting, processing, and interpreting data to identify trends, assess performance metrics, and generate actionable insights. Key requirements entail proficiency in data analysis tools, strong analytical skills, and the ability to translate complex findings into clear, strategic recommendations. Additionally, the position demands expertise in performance management frameworks, stakeholder collaboration, and continuous improvement processes to enhance operational efficiency and decision-making.
Dedicated to cultivating and sustaining meaningful connections with clients and stakeholders, this role focuses on building long-term partnerships through effective communication, responsiveness, and proactive engagement. It involves managing ongoing relationships, addressing inquiries or concerns promptly, and ensuring alignment with their needs and expectations to foster trust and collaboration.
Strategic planning and implementation encompass the development and oversight of long-term objectives, ensuring alignment with organizational goals while driving sustainable growth. This role involves analyzing market trends, evaluating competitive landscapes, and identifying opportunities to enhance operational efficiency and profitability. Key responsibilities include formulating actionable strategies, allocating resources effectively, and monitoring progress through performance metrics. Collaboration with cross-functional teams is essential to integrate strategic initiatives across departments, fostering innovation and adaptability in response to evolving business needs. Strong analytical skills, leadership acumen, and the ability to translate complex data into actionable insights are critical to success in this position.
Qualified applicants are invited to submit their CVs to recruitment@stiveshealthcare.com, with the subject line clearly marked as “Hospital Billing Manager.”
Qualifications
BA/BSc/HND
