Job Summary
We are in search of an accomplished and meticulous Hospital Billing Manager to supervise the hospital’s billing operations, revenue cycle procedures, and accounts receivable management throughout the Group.
The ideal candidate will design and execute uniform billing systems and processes, guaranteeing uniformity, operational efficiency, precision, and adherence to regulations across every facility.
Overseeing a range of critical duties, this position entails managing and executing key operational tasks to ensure seamless workflow and optimal performance. The role demands proactive identification of process improvements, rigorous adherence to established protocols, and consistent delivery of high-quality results. Additionally, the incumbent is expected to collaborate closely with cross-functional teams, provide strategic input to enhance team efficiency, and maintain meticulous documentation to support compliance and reporting requirements. Strong analytical skills, effective communication, and a commitment to continuous improvement are essential for success in this dynamic environment.
Develop, implement, and enhance standardized billing systems, policies, procedures, and controls to ensure consistency and efficiency across all facilities within the Group.
Ensure consistent implementation of billing protocols and revenue cycle processes across the entire Group.
Oversee the full scope of hospital billing operations, encompassing patient billing, corporate billing, and HMO billing.
Accurately prepare, validate, and submit invoices and claims to guarantee correctness and compliance with established standards.
To enhance financial performance, consistently track and refine the revenue cycle, aiming to boost collections, decrease claim denials, and prevent revenue loss.
Conduct regular billing audits and compliance assessments to detect discrepancies and apply necessary corrective measures.
Reconcile billing records in collaboration with clinical, pharmacy, laboratory, and finance departments to ensure accuracy and consistency across all systems.
Ensure timely resolution by tracking outstanding claims, unpaid invoices, and disputed accounts, following up as needed to expedite processing and minimize delays.
Compile regular reports on billing, collections, revenue, and performance metrics for managerial evaluation and strategic decision-making.
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-related issues, perform reconciliations, and finalize account settlements.
Evaluate and propose enhancements to billing processes through automation and operational efficiency initiatives to drive continuous improvement.
Conduct thorough examinations to identify and address billing discrepancies, patient complaints, claim rejections, and any deviations from established procedures.
Facilitate internal and external audits by preparing and submitting all necessary documentation promptly and accurately.
Seeking a highly skilled and experienced professional to join our team, the ideal candidate will meet the following criteria: a minimum of five years in a relevant field, proficiency in industry-specific software, strong analytical and problem-solving abilities, excellent communication skills, and the capability to work independently as well as collaboratively. The role demands meticulous attention to detail, adaptability to evolving challenges, and a commitment to delivering high-quality results. Additionally, the position requires a bachelor’s degree in a related discipline or equivalent work experience, along with the ability to manage multiple priorities in a fast-paced environment.
A bachelor’s degree in Accounting, Finance, Business Administration, Health Information Management, or a closely related discipline is required.
Seeking candidates with three to five years of professional experience in healthcare billing, revenue cycle management, or hospital accounts management, including a minimum of two years in a leadership or oversight capacity.
Experienced in designing, deploying, and optimizing billing systems, along with establishing comprehensive policies and performance evaluation frameworks.
A solid background in HMO operations, claims administration, healthcare billing procedures, and revenue cycle oversight is essential.
Proven expertise in Electronic Medical Records (EMR) systems, Microsoft Excel, and other pertinent software tools is required.
Required are exceptional analytical acumen, meticulous organizational abilities, and adept problem-solving capabilities.
Strong interpersonal skills, adept at negotiation and stakeholder engagement, are essential.
Demonstrated capability to enforce adherence to regulations, establish uniform processes, and enhance operational efficiency across various sites.
Demonstrates unwavering integrity, precision, and meticulous attention to detail in all tasks.
Preferred Qualifications include a Bachelor’s degree in a relevant field, such as Business Administration, Finance, or Economics, coupled with a minimum of five years of progressive experience in financial analysis, budgeting, or related areas. Candidates should possess strong proficiency in financial modeling, data analysis, and reporting tools, alongside excellent interpersonal and communication skills to collaborate effectively across teams. Familiarity with industry-specific software and regulatory compliance frameworks is highly valued. Additionally, professional certifications like CFA or CPA are advantageous, as is prior experience in a leadership or mentorship role.
Professional certification in Accounting, Finance, Health Information Management, or Revenue Cycle Management is highly advantageous.
Professional experience in a multi-facility healthcare group or hospital network is required.
Key Qualifications: Demonstrates proficiency in essential skills and capabilities necessary to excel in the role. Exhibits expertise in critical areas required for optimal performance. Possesses strong analytical, problem-solving, and communication abilities. Maintains a proactive approach to task management and demonstrates adaptability in dynamic work environments. Requires a solid foundation in relevant technical or functional domains, along with a commitment to continuous learning and professional development.
At this role, you will focus on the development and standardization of billing systems, ensuring accuracy, efficiency, and compliance with established protocols. Responsibilities include designing, implementing, and maintaining robust billing solutions, as well as optimizing processes to streamline operations and reduce errors. You will collaborate with cross-functional teams to align systems with business needs, enhance scalability, and support financial reporting requirements. Strong proficiency in billing software, data analysis, and system integration is essential, along with the ability to troubleshoot issues and implement improvements. A background in finance, accounting, or a related field is preferred, along with experience in system development and regulatory compliance.
Revenue Cycle Management encompasses the oversight and optimization of financial processes associated with patient care, from initial registration through final payment. This role involves ensuring accurate billing, timely claims submission, and efficient resolution of denials or discrepancies to maximize revenue integrity. Responsibilities include managing patient accounts, verifying insurance eligibility, and collaborating with healthcare providers and payers to streamline workflows. Strong analytical skills, attention to detail, and proficiency in billing software are essential, along with a deep understanding of regulatory compliance and revenue cycle best practices. Effective communication and problem-solving abilities are critical to addressing billing inquiries and reducing revenue leakage.
Responsible for compiling, analyzing, and interpreting financial data to produce accurate and timely reports, ensuring compliance with regulatory standards and organizational policies. Conducts variance analysis to identify discrepancies between actual and budgeted performance, providing actionable insights to support strategic decision-making. Collaborates with cross-functional teams to gather financial information and validate data integrity. Prepares monthly, quarterly, and annual financial statements, including balance sheets, income statements, and cash flow reports, while ensuring adherence to GAAP or IFRS frameworks. Maintains and updates financial models to forecast future performance and assess potential risks. Utilizes ERP or accounting software to streamline processes and enhance reporting efficiency.
Claims processing and reconciliation involves meticulously reviewing, validating, and resolving claims submissions to ensure accuracy and compliance with established policies and regulations. This role requires a keen attention to detail, strong analytical skills, and proficiency in utilizing claims management software. Responsibilities include verifying claim details, identifying discrepancies, communicating with stakeholders to gather necessary information, and maintaining precise records. The position demands the ability to meet deadlines while adhering to strict procedural guidelines, ensuring timely and accurate claim resolutions.
Compliance monitoring and auditing involves systematically evaluating and verifying adherence to regulatory standards, internal policies, and industry best practices to mitigate risks and ensure operational integrity. This role requires meticulous attention to detail, strong analytical abilities, and a thorough understanding of applicable laws and guidelines. Key responsibilities include conducting routine audits, documenting findings, identifying non-compliance issues, and recommending corrective actions to enhance compliance frameworks. Effective communication skills are essential for collaborating with stakeholders, presenting audit results, and fostering a culture of accountability within the organization.
We are seeking a dynamic professional to identify, evaluate, and enhance operational processes to drive efficiency and effectiveness. This role involves analyzing current workflows, pinpointing inefficiencies, and developing data-driven solutions to streamline procedures. The ideal candidate will collaborate with cross-functional teams to implement improvements, measure performance outcomes, and ensure sustainable results. Strong analytical skills, proficiency in process mapping tools, and the ability to communicate complex concepts clearly are essential. Experience in project management and a track record of delivering measurable improvements are highly valued.
Leads, mentors, and motivates a high-performing team to achieve organizational goals through clear direction, support, and accountability. Delegates tasks effectively while fostering collaboration and professional growth among team members. Ensures alignment with company objectives by setting measurable targets and monitoring progress. Identifies skill gaps and provides development opportunities to enhance individual and collective performance. Promotes a positive, inclusive work culture that encourages innovation and continuous improvement.
Responsible for analyzing data and managing performance metrics, this role involves evaluating key performance indicators to identify trends, insights, and areas for improvement. Duties include collecting, processing, and interpreting complex datasets, as well as developing reports and dashboards to communicate findings to stakeholders. Requires proficiency in data analysis tools such as Excel, SQL, and visualization platforms like Tableau or Power BI. Strong analytical skills, attention to detail, and the ability to translate data into actionable business strategies are essential. Experience in performance management and a background in business intelligence or related fields are preferred.
Maintaining and nurturing strong relationships with customers and stakeholders is a critical aspect of this role, ensuring alignment with their needs and expectations while fostering long-term partnerships. This involves actively engaging with key individuals, addressing inquiries promptly, and resolving any concerns to enhance satisfaction and trust. Additionally, the position requires collaborating with cross-functional teams to gather insights, align strategies, and deliver tailored solutions that meet stakeholder objectives. Strong interpersonal and communication skills, along with a customer-centric mindset, are essential to effectively manage these relationships and drive mutual success.
The role involves devising and implementing strategic initiatives to drive organizational growth and operational excellence. Responsibilities include analyzing market trends, identifying opportunities, and aligning business objectives with actionable plans. Key requirements encompass strong analytical skills, proficiency in strategic frameworks, and the ability to translate vision into measurable outcomes. Collaboration with cross-functional teams is essential to ensure cohesive execution and sustainable results.
Qualified applicants are encouraged to submit their CVs via email to recruitment@stiveshealthcare.com, with “Hospital Billing Manager” listed as the subject line.
Qualifications
BA/BSc/HND
