Job Summary
We require an accomplished and meticulous Hospital Billing Manager to supervise the hospital’s billing operations, revenue cycle procedures, and accounts receivable functions throughout the Group.
The chosen applicant will design and deploy standardized billing systems and processes to uphold consistency, efficiency, accuracy, and regulatory adherence across every facility.
Oversee the execution of core duties including [list responsibilities here], with a focus on delivering measurable outcomes aligned to organizational objectives. Serve as a key contributor to [specific projects or initiatives], ensuring adherence to established timelines and quality standards. Collaborate cross-functionally with teams such as [departments or teams], leveraging collective expertise to drive project success. Analyze data and performance metrics to identify trends, opportunities for improvement, and areas requiring strategic intervention. Maintain compliance with industry regulations, internal policies, and best practices while fostering a culture of accountability and continuous enhancement.
Design, establish, and refine consistent billing systems, policies, procedures, and controls to ensure uniform application and effectiveness throughout all Group facilities.
Ensure consistent implementation of billing protocols and revenue cycle management across the Group.
Responsibilities include overseeing all billing operations within the hospital, encompassing patient billing, corporate invoicing, and HMO billing services, to ensure accuracy, compliance, and efficiency in financial transactions.
Accurate creation, validation, and timely submission of invoices and claims must be ensured.
You will oversee and fine-tune the revenue cycle to enhance collections, decrease claim denials, and prevent revenue leakage.
Perform regular billing audits and compliance assessments to detect discrepancies, followed by the implementation of corrective measures as needed.
Responsible for aligning billing records across clinical, pharmacy, laboratory, and finance departments to ensure accuracy and consistency.
Diligently monitor claims that remain unresolved, invoices that are overdue, and accounts under dispute to facilitate timely and effective solutions.
Compile regular billing, collections, revenue, and performance reports for management evaluation.
Ensure adherence to healthcare billing standards, contractual obligations, regulatory mandates, and organizational policies.
Collaborate with HMO’s, corporate clients, and key stakeholders to resolve billing inquiries, reconcile accounts, and finalize settlements efficiently.
Evaluate and uncover potential enhancements in process optimization, automation integration, and operational streamlining specifically within the billing function.
Investigate billing discrepancies, patient complaints, claim rejections, and process deviations, and implement effective resolutions to address each issue comprehensively.
Assist with both internal and external audit processes by furnishing all necessary documentation upon request.
Requirements
A bachelor’s degree in Accounting, Finance, Business Administration, Health Information Management, or a comparable discipline is required.
Seeking a candidate with three to five years of specialized experience in healthcare billing, revenue cycle management, or hospital accounts management, including at least two years in a leadership or supervisory position.
Proven track record in designing, deploying, and optimizing billing systems, alongside formulating and enforcing policies and performance frameworks.
Requires in-depth knowledge of HMO operations, claims management, healthcare billing protocols, and revenue cycle oversight.
Demonstrates strong competency with Electronic Medical Records (EMR) systems, Microsoft Excel, and other pertinent software applications.
Strong analytical abilities, keen organizational proficiency, and adept problem-solving capabilities are essential.
Demonstrates exceptional skills in communication, negotiation, and stakeholder management, with a proven ability to foster productive relationships and drive consensus.
Demonstrates strong capability to enforce adherence to protocols, streamline processes, and enhance efficiency across various facilities.
Demonstrates exceptional integrity, precision, and meticulous attention to detail in all tasks.
Preferred Qualifications include a Bachelor’s degree in a relevant field, such as Computer Science, Engineering, or Mathematics, coupled with a minimum of three years of hands-on experience in data analysis, statistical modeling, or a related discipline. Proficiency in programming languages like Python, R, or SQL is essential, along with familiarity with data visualization tools such as Tableau or Power BI. Candidates should demonstrate strong analytical thinking, problem-solving skills, and the ability to translate complex data insights into actionable business strategies. Experience with machine learning frameworks, cloud platforms (e.g., AWS, Azure), and agile methodologies is highly advantageous. Exceptional communication skills, both written and verbal, are required to collaborate effectively with cross-functional teams and stakeholders.
Professional certification in Accounting, Finance, Health Information Management, or Revenue Cycle Management is highly advantageous.
Candidates should possess a background in multi-facility healthcare environments, including group practices or hospital networks.
Key Qualifications: Demonstrate proficiency in leadership, strategic planning, and problem-solving to drive organizational success. Exhibit exceptional communication, collaboration, and adaptability to seamlessly integrate with cross-functional teams. Showcase strong analytical skills to interpret complex data and translate insights into actionable strategies. Maintain a results-driven mindset, ensuring high performance and continuous improvement in all initiatives. Uphold ethical standards and compliance with industry regulations to foster a culture of integrity and accountability.
Develop and standardize billing systems to enhance operational efficiency and accuracy.
Revenue Cycle Management involves overseeing the financial processes that ensure healthcare providers receive timely and accurate reimbursement for services rendered. This role requires expertise in billing systems, regulatory compliance, and payer policies to optimize revenue collection. Responsibilities include managing claim submissions, addressing denials, conducting financial analysis, and implementing strategies to enhance revenue performance. Strong analytical skills, attention to detail, and proficiency in relevant software are essential for success in this position.
Financial Reporting and Analysis
Experienced professionals are sought to manage claims processing and reconciliation tasks efficiently. This role involves accurate evaluation, verification, and settlement of claims in accordance with established policies and procedures. Responsibilities include reviewing documentation, resolving discrepancies, and ensuring compliance with regulatory standards. Candidates must demonstrate strong attention to detail, analytical skills, and proficiency in relevant software systems to facilitate timely processing. Excellent communication abilities are essential for liaising with claimants, internal teams, and external stakeholders to address inquiries and expedite resolution.
We are seeking a skilled professional to oversee compliance monitoring and auditing functions to ensure adherence to regulatory standards and internal policies. The successful candidate will conduct regular audits, assess risks, and implement corrective measures as necessary. Additionally, they will maintain detailed records, prepare comprehensive reports, and collaborate with stakeholders to address compliance gaps. Strong analytical skills, attention to detail, and proficiency in compliance frameworks are essential requirements for this role.
We are seeking a dynamic professional to spearhead process improvement initiatives aimed at enhancing efficiency, reducing waste, and driving operational excellence. The ideal candidate will analyze existing workflows, identify bottlenecks, and implement data-driven solutions to optimize performance. Strong analytical skills, proficiency in process mapping tools, and experience with lean methodologies are essential. Additionally, the role requires collaboration with cross-functional teams to ensure seamless integration of improvements. Familiarity with project management principles and a track record of measurable results in process optimization are highly valued.
Guides and oversees a group of employees, ensuring alignment with organizational goals and fostering a productive, collaborative work environment. Assigns tasks, monitors progress, and provides constructive feedback to enhance performance. Promotes professional development through mentorship and coaching, while addressing challenges and resolving conflicts effectively. Maintains clear communication with senior management and ensures adherence to company policies and procedures. Demonstrates strong leadership, adaptability, and problem-solving skills to drive team success and operational efficiency.
Conduct comprehensive data analysis and oversee performance management initiatives to drive organizational efficiency and strategic decision-making. Develop and maintain key performance indicators, analyze trends, and generate actionable insights to enhance operational performance. Collaborate with cross-functional teams to implement data-driven solutions, monitor progress, and ensure alignment with business objectives. Prepare detailed reports and presentations to communicate findings and recommendations to stakeholders at all levels. Utilize advanced analytical tools and methodologies to assess performance gaps, identify opportunities for improvement, and support continuous growth.
We excel in managing relationships with customers and stakeholders, ensuring consistent communication and alignment with organizational objectives. This role demands strong interpersonal skills, proficiency in stakeholder engagement strategies, and the ability to resolve conflicts effectively. Responsibilities include developing and maintaining partnerships, addressing concerns promptly, and fostering long-term collaboration to drive mutual success. Candidates should possess excellent negotiation abilities, a customer-centric mindset, and experience in relationship-building across diverse groups.
The individual will be responsible for developing and implementing strategic plans to drive organizational success, ensuring alignment with long-term objectives. This role requires meticulous analysis of market trends, competitive positioning, and internal capabilities to inform data-driven decision-making. Key responsibilities include overseeing the execution of strategic initiatives, monitoring progress against established KPIs, and adapting plans as needed to respond to evolving business conditions. Collaboration with cross-functional teams will be essential to integrate strategic priorities across departments and foster a unified approach to achieving growth targets. Strong leadership, analytical acumen, and proficiency in strategic frameworks are required, along with the ability to communicate complex insights effectively to stakeholders at all levels.
Qualified and enthusiastic applicants are encouraged to submit their CVs via email to recruitment@stiveshealthcare.com, ensuring the subject line reads “Hospital Billing Manager.”
Qualifications
BA/BSc/HND
