Job Summary
A highly skilled and meticulous Hospital Billing Manager is sought to direct the hospital’s billing operations, revenue cycle processes, and accounts receivable management throughout the Group.
The ideal candidate will design and deploy standardized billing systems and processes to maintain consistency, efficiency, accuracy, and regulatory compliance across all facilities.
Oversee a range of critical duties including planning, organizing, and prioritizing tasks to ensure efficient workflow and project completion. Develop and implement strategic initiatives to enhance productivity, meet organizational objectives, and drive continuous improvement. Collaborate with cross-functional teams to align efforts, share insights, and resolve challenges collaboratively. Monitor performance metrics, analyze data, and provide actionable recommendations to optimize processes and achieve measurable results. Ensure adherence to company policies, industry regulations, and best practices while maintaining high standards of quality and accountability. Serve as a key liaison between departments, fostering clear communication and facilitating seamless coordination to support overall business success.
Design, deploy, and refine standardized billing systems, policies, procedures, and internal controls to ensure consistency and compliance across all facilities within the Group.
Guarantee consistent adherence to billing protocols and revenue cycle processes across the entire Group.
Oversee all hospital billing processes, encompassing patient billing, corporate accounts, and HMO-related transactions, to ensure accuracy, efficiency, and compliance with established standards.
Accurately generate, verify, and submit invoices and claims to ensure compliance and efficiency in financial processes.
Oversee the revenue cycle with a focus on enhancing collections, reducing claim denials, and preventing revenue loss.
Perform regular billing audits and compliance assessments to detect discrepancies and execute corrective measures.
Responsibilities include verifying billing records against data from clinical, pharmacy, laboratory, and finance departments to ensure accuracy and alignment.
Follow up with clients regarding overdue claims, unsettled invoices, and contested accounts to facilitate timely resolution.
Compile regular billing, collections, revenue, and performance reports for review by management.
Ensure adherence to healthcare billing standards, contractual obligations, regulatory mandates, and established internal policies.
Collaborate effectively with HMO’s, corporate clients, and other key stakeholders to manage billing processes, ensure accurate reconciliations, and finalize account settlements.
Evaluate areas within the billing function where enhancements in processes, automation, and operational efficiency can be achieved.
Conduct thorough reviews to identify and rectify billing discrepancies, patient complaints, claim rejections, and process deviations.
Facilitate internal and external audit processes by furnishing all necessary documentation promptly upon request.
Requirements
A Bachelor’s Degree in Accounting, Finance, Business Administration, Health Information Management, or a closely related discipline is required.
Requires a minimum of three to five years of direct experience in healthcare billing, revenue cycle management, or hospital accounts management, including at least two years in a leadership or supervisory capacity.
Proven expertise in designing, deploying, and managing billing systems, establishing efficient policies, and creating performance measurement frameworks.
Demonstrates a comprehensive knowledge of HMO operations, claims administration, healthcare billing methodologies, and revenue cycle management processes.
Skilled in utilizing Electronic Medical Records (EMR) systems, Microsoft Excel, and other pertinent software applications.
Demonstrates exceptional analytical prowess, meticulous organizational capabilities, and a proven track record in problem resolution.
Proven expertise in communication, negotiation, and stakeholder management, demonstrating exceptional interpersonal and strategic capabilities.
Proven capability to enforce adherence to policies, streamline procedures, and enhance operational efficiency across diverse sites.
Maintains an exceptional level of integrity, precision, and meticulous attention to detail in all tasks and interactions.
Preferred Qualifications include a Bachelor’s degree in Computer Science, Engineering, or a related field, along with a minimum of three years of relevant work experience. Candidates should possess strong analytical and problem-solving skills, with proficiency in programming languages such as Java, Python, or C++. Experience with cloud platforms like AWS or Azure and familiarity with DevOps practices are highly desirable. Additionally, exposure to agile methodologies and version control systems, such as Git, is preferred. Excellent communication abilities and a collaborative mindset are essential for success in this role.
Professional certification in Accounting, Finance, Health Information Management, or Revenue Cycle Management is highly advantageous.
Proficiency in healthcare operations within a multi-facility group or hospital network environment is required.
Competitive candidates will exhibit the following essential proficiencies: proven leadership capabilities, exceptional problem-solving aptitude, strong interpersonal communication skills, and a commitment to continuous professional development. Additionally, the ideal applicant must demonstrate adaptability in dynamic environments, meticulous attention to detail, and the capacity to collaborate effectively within cross-functional teams. Fluency in industry-specific technologies and methodologies, along with a results-driven mindset, will be critical to success in this role. Prior experience in a similar capacity, coupled with a track record of delivering measurable outcomes, is highly desirable.
Developing and standardizing billing systems encompasses the design, implementation, and optimization of processes to ensure accurate, efficient, and consistent invoice generation and financial reporting. This role involves collaborating with cross-functional teams to identify system requirements, streamline workflows, and integrate solutions that align with organizational policies and regulatory standards. Key responsibilities include analyzing existing billing frameworks, identifying gaps or inefficiencies, and proposing enhancements to improve performance, scalability, and compliance. Additionally, the position demands proficiency in billing software, data management, and financial systems to support seamless operations and enhance overall productivity.
Experienced professionals in Revenue Cycle Management are responsible for overseeing financial processes to ensure accurate and timely billing, claims submission, and payment collection. They analyze key performance indicators, optimize revenue streams, and resolve discrepancies to enhance cash flow and financial stability. Proficiency in healthcare revenue cycle systems, strong analytical skills, and meticulous attention to detail are essential. Candidates should possess a solid understanding of medical billing regulations, payer policies, and compliance standards, along with effective communication and problem-solving abilities to collaborate with cross-functional teams and stakeholders.
Responsible for preparing and analyzing financial statements, this role involves compiling accurate financial data, ensuring compliance with regulatory standards, and providing insights through detailed reports. Develops and maintains financial models to support strategic decision-making, monitors key performance indicators, and identifies trends to enhance operational efficiency. Collaborates with cross-functional teams to streamline reporting processes, optimize financial performance, and support budgeting and forecasting activities. Requires proficiency in financial software, strong analytical skills, and a minimum of five years of relevant experience in financial reporting or analysis.
Claims processing and reconciliation play a critical role in ensuring accurate and timely resolution of claims while maintaining financial integrity. This position requires meticulous attention to detail, strong analytical skills, and proficiency in various claims management systems to efficiently review, validate, and process claims in accordance with established policies and regulatory guidelines. Responsibilities include verifying claim documentation, resolving discrepancies, coordinating with stakeholders, and preparing detailed reports to support audit trails and compliance efforts. Candidates must demonstrate exceptional organizational abilities, effective communication, and a commitment to maintaining high standards of accuracy and customer service.
Duties include conducting thorough compliance monitoring and auditing activities to ensure adherence to regulatory standards and internal policies. Responsibilities encompass evaluating operational processes, identifying potential risks, and verifying that corrective actions are implemented effectively. The role requires meticulous attention to detail, strong analytical skills, and the ability to interpret complex regulations. Additionally, candidates must possess excellent communication skills to report findings and recommend improvements to management, along with proficiency in compliance software and tools for accurate documentation and analysis.
Drives the identification and implementation of enhancements to streamline workflows, eliminate inefficiencies, and elevate overall operational performance. Analyzes current processes to pinpoint bottlenecks, redundancies, or areas for optimization, then designs and deploys targeted solutions to improve productivity and quality. Collaborates with cross-functional teams to gather insights, align improvements with strategic objectives, and ensure seamless adoption of new methodologies. Measures the impact of changes through defined KPIs, ensuring sustainable gains in efficiency and effectiveness.
Experienced professionals are sought to guide and oversee team operations, ensuring alignment with organizational goals while fostering collaboration and accountability among members. Candidates must demonstrate strong interpersonal skills, conflict resolution abilities, and a proven track record of mentoring and developing talent. Responsibilities include setting clear objectives, monitoring progress, and providing constructive feedback to enhance performance and productivity. The ideal candidate will possess excellent communication skills, strategic planning expertise, and the capacity to inspire and motivate both individuals and teams to achieve exceptional results.
Data Analysis and Performance Management involves collecting, processing, and interpreting complex datasets to derive actionable insights, enabling data-driven decision-making across various business functions. This role requires proficiency in statistical analysis, data visualization tools, and performance metrics to assess organizational efficiency, identify trends, and support strategic planning. Key responsibilities include designing and maintaining performance dashboards, conducting root cause analyses, and collaborating with cross-functional teams to implement data-driven improvements. Candidates should possess strong analytical skills, proficiency in tools such as SQL, Excel, and Tableau, and the ability to translate data into clear, strategic recommendations.
Proactively cultivating strong, mutually beneficial connections with clients and stakeholders is a key duty, ensuring alignment with organizational objectives and fostering long-term partnerships. This role entails maintaining open lines of communication, addressing inquiries promptly, and resolving issues with transparency to enhance satisfaction and trust. Additionally, it requires identifying opportunities to strengthen relationships through proactive engagement, feedback integration, and delivering consistent value to all parties involved.
The role involves developing and implementing strategic plans to achieve organizational objectives, ensuring alignment with long-term goals while monitoring progress and adjusting tactics as needed. Responsibilities include conducting thorough market and competitive analyses to inform decision-making, identifying growth opportunities, and allocating resources efficiently to maximize impact. The position requires strong analytical skills, a forward-thinking mindset, and the ability to collaborate across departments to drive cohesive execution. Additionally, the role demands proficiency in strategic frameworks, data-driven insights, and clear communication to present plans and progress to stakeholders.
Qualified and motivated candidates 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
