Job Summary
We are in search of a highly skilled and meticulous Hospital Billing Manager to supervise the hospital’s billing operations, revenue cycle processes, and accounts receivable management throughout the Group.
The ideal candidate will design and execute uniform billing systems and procedures, guaranteeing uniformity, operational efficiency, precision, and regulatory adherence throughout all locations.
Oversee and execute a comprehensive range of critical duties encompassing strategic planning, operational management, and team leadership to drive organizational success. Develop and implement policies, procedures, and initiatives that enhance efficiency, productivity, and compliance with industry standards. Collaborate with cross-functional teams to identify opportunities for improvement, optimize workflows, and achieve key performance indicators. Monitor performance metrics, analyze data trends, and present actionable insights to senior management to inform decision-making. Ensure adherence to regulatory requirements, risk management protocols, and ethical guidelines while fostering a culture of accountability and continuous improvement. Act as a liaison between departments to facilitate seamless communication, alignment, and project execution.
Responsible for designing, deploying, and enhancing uniform billing systems, policies, procedures, and internal controls to ensure consistent application across every facility within the Group.
Ensure consistent implementation of billing protocols and revenue cycle processes across the entire Group.
Oversee all hospital billing operations, encompassing patient, corporate, and HMO billing procedures, to ensure accuracy and efficiency in financial transactions.
Accurately generate, verify, and submit all invoices and claims to ensure compliance and timely processing.
Monitor and enhance the revenue cycle to boost collections, decrease claim denials, and prevent revenue losses, ensuring financial efficiency and operational effectiveness.
Perform regular billing audits and compliance assessments to detect discrepancies and initiate corrective measures.
You will be responsible for aligning billing records with data from clinical, pharmacy, laboratory, and finance departments to ensure accuracy and consistency. This role involves collaborating with multiple departments to verify and cross-reference information, ensuring all financial records are complete and error-free.
Consistently monitor and address overdue claims, unsettled invoices, and contested accounts to facilitate timely resolutions, ensuring efficient financial operations and minimizing outstanding balances.
Compile regular billing, collections, revenue, and performance reports 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 inquiries, perform reconciliations, and finalize account settlements.
Evaluate areas within the billing function where enhancements in processes, automation, and operational efficiency can be implemented.
Investigate and address billing discrepancies, patient complaints, claim rejections, and any deviations from established processes to ensure accurate and efficient resolution.
Prepare and furnish necessary documentation for both internal and external audits upon request, ensuring compliance with established procedures and standards.
Seeking a candidate with a minimum of three years of experience in a relevant field, along with proficiency in industry-standard software and tools. The ideal applicant must possess strong problem-solving skills, excellent communication abilities, and the capacity to work both independently and collaboratively in a fast-paced environment. A bachelor’s degree in a related discipline is required, and additional certifications or specialized training are highly advantageous. Familiarity with project management methodologies and prior leadership experience are preferred but not mandatory.
A relevant bachelor’s degree in Accounting, Finance, Business Administration, Health Information Management, or a comparable field is required.
Seeking candidates with three to five years of hands-on experience in healthcare billing, revenue cycle management, or hospital accounts management, including a minimum of two years in a leadership or oversight capacity.
Proven expertise in designing, developing, and deploying billing systems, alongside formulating and executing robust policies and performance frameworks.
A solid grasp of HMO operations, claims management, healthcare billing processes, and revenue cycle management is essential.
Demonstrated expertise in Electronic Medical Records (EMR) systems, Microsoft Excel, and related software platforms is required.
Required are robust analytical, organizational, and problem-solving abilities.
Skilled in fostering clear dialogue, navigating complex negotiations, and effectively engaging with stakeholders to achieve mutual objectives.
Skilled in fostering adherence to regulations, promoting uniformity, and enhancing operational efficiency across diverse operational sites.
Demonstrates a strong commitment to integrity, precision, and meticulous attention to detail in all tasks and responsibilities.
Preferred Qualifications include a Bachelor’s degree in a relevant field such as Business Administration, Finance, or Accounting. Candidates should possess at least three years of professional experience in financial analysis, budgeting, or related roles. Proficiency in financial software and advanced Excel skills are required, along with strong analytical and problem-solving abilities. Excellent communication and interpersonal skills are essential for collaborating with cross-functional teams and stakeholders. Prior experience in a leadership or supervisory capacity is a plus.
Professional certifications in Accounting, Finance, Health Information Management, or Revenue Cycle Management are advantageous.
Professional experience in a multi-facility healthcare group or hospital network is required.
Key Qualifications: The ideal candidate will possess a robust set of skills and attributes, including strong analytical and problem-solving abilities, excellent communication and interpersonal skills, and the capacity to work effectively both independently and collaboratively. They should demonstrate proficiency in [specific software/tools, if applicable], along with a solid understanding of [relevant industry standards or methodologies]. Adaptability, attention to detail, and a commitment to continuous learning are essential, as is the ability to manage multiple priorities in a fast-paced environment. Leadership potential and a customer-focused mindset are also highly valued.
Billing Systems Development and Standardization involves designing, implementing, and maintaining efficient and scalable billing systems to ensure accurate financial processing and compliance with regulatory standards. This role requires expertise in system architecture, database management, and automated billing workflows to optimize revenue cycles and enhance operational efficiency. Responsibilities include collaborating with cross-functional teams to gather requirements, developing standardized billing procedures, and ensuring seamless integration with existing financial platforms. Proficiency in programming languages such as Java, Python, or SQL, along with experience in cloud-based solutions and ERP systems, is essential. The ideal candidate will possess strong analytical skills, attention to detail, and the ability to troubleshoot complex billing issues while adhering to strict deadlines and compliance mandates.
Revenue Cycle Management encompasses the comprehensive oversight of financial processes related to patient care, from initial registration to final payment collection. This role involves meticulous management of billing, coding, and claims submission to ensure accurate and timely reimbursement from payers. Key responsibilities include verifying patient insurance eligibility, resolving billing discrepancies, and optimizing revenue streams through efficient workflows. A strong understanding of healthcare regulations, payer policies, and revenue cycle best practices is essential, along with proficiency in relevant software systems and analytical tools to track performance metrics and identify areas for improvement.
Our role encompasses the preparation and analysis of financial reports, ensuring compliance with regulatory standards and providing actionable insights to stakeholders. This position requires proficiency in accounting principles, advanced Excel skills, and the ability to interpret complex financial data. Key responsibilities include consolidating financial statements, forecasting future performance, and identifying trends to support strategic decision-making. Strong communication skills are essential for presenting findings to non-financial audiences, and experience with ERP systems is a plus.
Claims processing and reconciliation involve verifying claim details, ensuring accuracy, and resolving discrepancies to facilitate timely reimbursements. This role requires meticulous attention to detail, proficiency in data analysis, and a solid understanding of insurance policies and regulations. Responsibilities include reviewing claim forms, coordinating with healthcare providers and insurers, and maintaining precise records. Effective communication and problem-solving skills are essential to address issues promptly and maintain compliance with established protocols.
Ensures adherence to regulatory standards and internal policies through systematic compliance monitoring and auditing activities. Conducts routine assessments to identify potential risks, gaps, or non-compliance issues, and recommends corrective actions to mitigate them. Collaborates with cross-functional teams to implement necessary adjustments and maintain compliance with applicable laws, regulations, and industry best practices. Maintains detailed records of audit findings, corrective measures, and ongoing compliance efforts to support transparency and accountability.
We are seeking a skilled Process Improvement professional to enhance operational efficiency and effectiveness. The ideal candidate will analyze current workflows, identify inefficiencies, and implement strategic solutions to streamline processes. Responsibilities include conducting detailed process audits, gathering and interpreting data, and collaborating with cross-functional teams to develop and execute improvement initiatives. Strong analytical, problem-solving, and communication skills are essential, along with proficiency in process mapping and performance metrics. A proven track record in driving measurable improvements and a bachelor’s degree in a relevant field, such as Business Administration or Industrial Engineering, are required.
Leads and manages a cohesive team, ensuring optimal performance and professional growth of each member through mentorship and targeted development initiatives. Establishes clear performance metrics and accountability frameworks to drive results while fostering a collaborative and inclusive work environment. Facilitates open communication channels to align team objectives with organizational goals, resolving conflicts and addressing challenges proactively. Monitors progress, provides constructive feedback, and recognizes achievements to maintain high morale and engagement. Ensures adherence to company policies, ethical standards, and industry best practices while promoting a culture of continuous improvement and innovation.
We are seeking a skilled professional to oversee data analysis initiatives and drive performance management strategies. The ideal candidate will be responsible for collecting, processing, and interpreting complex datasets to extract actionable insights. Additionally, they will develop and implement performance metrics, monitor key indicators, and recommend improvements to enhance operational efficiency. Proficiency in data visualization tools and statistical analysis software is essential, along with strong analytical thinking and problem-solving abilities. A background in business intelligence, statistics, or a related field is preferred.
Customer and Stakeholder Relationship Management involves cultivating and sustaining strong, mutually beneficial connections with clients, partners, and key stakeholders to ensure alignment with organizational objectives. The role requires a keen understanding of client needs, effective communication skills, and the ability to resolve issues promptly while maintaining professionalism. Responsibilities include identifying stakeholder requirements, developing tailored engagement strategies, and fostering long-term partnerships. Additionally, the position demands proficiency in CRM tools, data analysis to track relationship performance, and collaboration with cross-functional teams to enhance overall satisfaction and loyalty.
Develops and implements strategic plans to drive organizational growth and operational efficiency, ensuring alignment with long-term objectives and market demands.
Qualified applicants are encouraged to submit their CVs via email to recruitment@stiveshealthcare.com, with the subject line clearly marked as “Hospital Billing Manager.”
Qualifications
BA/BSc/HND
