Job Summary
An accomplished and meticulous Hospital Billing Manager is required to direct the hospital’s billing functions, streamline revenue cycle operations, and manage accounts receivable for the entire Group.
The ideal candidate will develop and implement standardized billing systems and processes, ensuring consistency, efficiency, accuracy, and compliance across all facilities.
Oversee a range of critical duties, including the management of daily operations to ensure seamless workflow efficiency, the development and implementation of strategic initiatives to drive project success, and the supervision of a diverse team to foster collaboration and productivity. Collaborate with stakeholders across departments to align objectives, resolve challenges, and maintain high standards of performance. Monitor key performance indicators to assess progress, identify opportunities for improvement, and implement corrective actions as needed. Maintain accurate records, prepare comprehensive reports, and present findings to senior leadership to support data-driven decision-making. Promote a culture of accountability, professionalism, and continuous improvement while adhering to company policies and industry regulations.
Design, establish, and refine uniform billing systems, policies, procedures, and internal controls to ensure consistency and effectiveness across all facilities within the Group.
Ensure consistent implementation of billing protocols and revenue cycle procedures across the entire Group.
Oversee and administer all hospital billing functions, encompassing patient, corporate, and HMO billing operations.
Responsibilities include meticulously generating, verifying, and submitting invoices and claims with precision to ensure accuracy and compliance.
Monitor revenue cycle performance to enhance collections efficiency, mitigate claim denials, and prevent revenue loss proactively.
Perform regular billing audits and compliance assessments to detect discrepancies and execute necessary corrective measures.
Collaborate with clinical, pharmacy, laboratory, and finance departments to ensure accurate reconciliation of billing records.
Monitor outstanding claims, unpaid invoices, and disputed accounts to facilitate timely resolution and maintain financial accuracy.
Compile regular billing, collections, revenue, and performance reports for management assessment and review.
Ensure adherence to healthcare billing standards, contractual obligations, regulatory mandates, and established internal policies.
Collaborate effectively with HMO’s, corporate clients, and other pertinent stakeholders to manage billing processes, perform reconciliations, and finalize account settlements.
Evaluate potential enhancements in the billing process, with a focus on identifying avenues for automation and increased operational efficiency.
Investigate and address billing discrepancies, patient grievances, rejected claims, and procedural deviations to ensure accuracy and compliance in financial and operational processes.
Assist with both internal and external audit processes, furnishing all necessary documentation upon request.
We seek a candidate with a Bachelor’s degree in a relevant field, along with at least three years of professional experience in a similar role. Strong communication and organizational skills are essential, as well as proficiency in industry-specific software and tools. The ideal applicant must demonstrate the ability to work independently, manage multiple priorities, and thrive in a fast-paced environment. Additional qualifications include problem-solving abilities, attention to detail, and a commitment to continuous learning.
A Bachelor’s Degree in Accounting, Finance, Business Administration, Health Information Management, or a closely related field is required.
Seeking a candidate with 3 to 5 years of professional experience in healthcare billing, revenue cycle management, or hospital accounts management, including a minimum of 2 years in a leadership or oversight capacity.
Proven expertise in designing, executing, and optimizing billing systems, establishing robust policies, and implementing performance measurement frameworks.
Possesses in-depth knowledge of HMO operations, claims management, healthcare billing procedures, and revenue cycle management.
Proven expertise in Electronic Medical Records (EMR) systems and Microsoft Excel, along with other pertinent software applications, is required.
Possesses robust analytical capabilities, exceptional organizational talents, and a proven aptitude for resolving complex challenges.
Highly proficient in communication, negotiation, and stakeholder management, with a proven ability to engage effectively across diverse audiences.
Demonstrated capability to enforce adherence to regulations, establish uniform procedures, and enhance operational efficiency across various facilities.
Maintaining rigorous standards of integrity, precision, and meticulous attention to detail is essential.
Preferred Qualifications include 3+ years of experience in a related field. Bachelor’s degree in Computer Science, Engineering, or a related discipline is highly desirable. Proficiency in Python, Java, or C++ is required. Familiarity with cloud platforms such as AWS or Azure is a plus. Strong problem-solving skills and the ability to work in a collaborative team environment are essential. Prior experience with data analysis or machine learning is advantageous.
Professional certification in Accounting, Finance, Health Information Management, or Revenue Cycle Management is highly beneficial.
Professional healthcare experience gained within a multi-facility group or hospital network is required.
Key Qualifications: A proven ability to lead cross-functional teams, coupled with exceptional problem-solving skills and a strategic mindset to drive organizational success. Demonstrates strong interpersonal and communication skills to foster collaboration and alignment across departments. Must exhibit proficiency in data analysis and decision-making to identify trends, mitigate risks, and optimize processes. Familiarity with industry-specific tools, methodologies, and best practices is essential. Prior experience in [relevant field/industry] is required, along with a track record of delivering measurable results. Exhibits adaptability in fast-paced environments and a commitment to continuous learning and professional development.
Billing Systems Development and Implementation of Standardized Processes
Responsibilities include establishing uniform billing procedures, designing and maintaining billing software solutions, and ensuring compliance with regulatory standards. Duties encompass collaborating with cross-functional teams to integrate billing systems, optimizing workflow efficiency, and troubleshooting technical issues. The role requires expertise in system architecture, proficiency in relevant programming languages, and a strong understanding of financial regulations. Additionally, the position demands meticulous attention to detail to guarantee accurate invoicing, timely processing, and adherence to company policies. Candidates must possess analytical skills to assess system performance, identify areas for improvement, and implement enhancements to support scalable growth.
Revenue Cycle Management professionals oversee the financial processes that ensure healthcare providers receive accurate and timely reimbursement for services rendered. They analyze and optimize billing procedures, manage claims submissions, and resolve any discrepancies or denials to maximize revenue collection. Additionally, they collaborate with clinical staff to ensure accurate documentation and coding, which directly impacts reimbursement rates. Strong analytical skills, attention to detail, and proficiency in healthcare revenue cycle software are essential for success in this role. Candidates should possess a solid understanding of insurance policies, regulatory compliance, and financial reporting within the healthcare industry.
The position involves preparing and analyzing financial statements to ensure accuracy, compliance, and alignment with regulatory standards. Key duties include generating monthly, quarterly, and annual reports, reconciling accounts, and identifying trends to support strategic decision-making. Candidates must possess a bachelor’s degree in accounting, finance, or a related field, along with proficiency in financial software and strong analytical skills. Exceptional attention to detail and the ability to communicate complex financial data clearly are essential. Prior experience in financial analysis or reporting is strongly preferred.
Claims processing and reconciliation involve meticulously reviewing, verifying, and settling insurance claims to ensure accuracy and compliance with established policies. This role requires a keen attention to detail, strong analytical skills, and the ability to interpret complex claim data while adhering to regulatory guidelines. Responsibilities include validating claim information, resolving discrepancies, communicating with claimants and providers, and maintaining precise records to support audit trails. Proficiency in claim management software, familiarity with insurance regulations, and effective problem-solving capabilities are essential for success in this position.
Diligent oversight of regulatory adherence and systematic evaluation of operational practices are essential responsibilities of this role. Conducting thorough reviews and assessments to ensure alignment with applicable laws, industry standards, and internal policies will be a key focus. Identifying potential risks, discrepancies, or areas for improvement and promptly reporting findings to stakeholders will also be required. Strong analytical skills, meticulous attention to detail, and the ability to interpret complex regulatory requirements are necessary qualifications for success in this position.
We are seeking a dynamic professional to enhance operational efficiency by identifying, analyzing, and implementing process improvements across various departments. This role involves conducting detailed assessments of current workflows, pinpointing inefficiencies, and developing data-driven solutions to streamline operations. The ideal candidate will collaborate with cross-functional teams to ensure seamless integration of optimized processes while maintaining compliance with organizational standards. Strong analytical skills, proficiency in process mapping tools, and the ability to drive measurable results are essential. Additionally, the position requires excellent communication skills to facilitate change management and foster a culture of continuous improvement.
Experienced professionals are sought to lead and oversee a cohesive team, ensuring alignment with organizational objectives while fostering collaboration and accountability. The role demands strong interpersonal skills to motivate members, resolve conflicts, and cultivate a productive work environment. Responsibilities include setting clear performance expectations, delegating tasks effectively, and monitoring progress to drive results. Proficiency in communication, strategic planning, and problem-solving is essential, along with a track record of successfully managing diverse teams. Candidates must demonstrate leadership agility, adaptability to change, and the ability to inspire high performance across all levels.
Analyzes data and oversees performance metrics to identify trends, evaluate outcomes, and support strategic decision-making processes. Develops and implements key performance indicators to measure organizational effectiveness, ensuring alignment with business objectives. Designs and maintains dashboards, reports, and analytical frameworks to provide actionable insights. Collaborates with cross-functional teams to interpret data, address performance gaps, and recommend process improvements. Utilizes statistical tools and methodologies to conduct thorough analyses and validate findings. Requires proficiency in data visualization tools, advanced Excel, and SQL, along with strong analytical and problem-solving abilities. Bachelor’s degree in a quantitative field or equivalent experience is preferred.
We excel in cultivating and maintaining strong relationships with customers and stakeholders, ensuring their needs are met and expectations are exceeded through consistent communication and proactive engagement. This role demands a strategic approach to relationship management, requiring a deep understanding of their objectives and challenges to deliver tailored solutions. You will be responsible for identifying key stakeholders, building trust, and fostering long-term partnerships that drive mutual success and organizational growth.
Developing and implementing strategic plans with precision and foresight is essential to driving organizational success. This role requires meticulous analysis of market trends, competitive landscapes, and internal capabilities to identify growth opportunities and mitigate risks. The successful candidate will collaborate with cross-functional teams to align initiatives with overarching business objectives, ensuring seamless execution and measurable outcomes. Strong leadership, analytical acumen, and a results-driven mindset are critical for translating vision into actionable strategies and fostering sustainable performance.
Qualified candidates are encouraged to submit their CVs to recruitment@stiveshealthcare.com, with the subject line “Hospital Billing Manager.”
Qualifications
BA/BSc/HND
