Hospital Billing Manager at St. Ives Specialist Hospital

Job Summary

• We are seeking an experienced and detail-oriented Hospital Billing Manager to oversee the hospital's billing operations, revenue cycle processes, and accounts receivable management across the Group.
• The successful candidate will be responsible for developing and implementing standardized billing systems,and processes to ensure consistency, efficiency, accuracy, and compliance across all facilities.

Key Responsibilities

• Develop, implement, and continuously improve standardized billing systems, policies, procedures, and controls across all facilities within the Group.
• Ensure uniform application of billing protocols and revenue cycle processes throughout the Group.
• Manage and supervise all hospital billing activities, including patient, corporate, and HMO billing.
• Ensure accurate generation, verification, and submission of invoices and claims.
• Monitor and optimize the revenue cycle to improve collections, reduce claim denials, and minimize revenue leakage.
• Conduct periodic billing audits and compliance reviews to identify gaps and implement corrective actions.
• Reconcile billing records with clinical, pharmacy, laboratory, and finance departments.
• Follow up on outstanding claims, unpaid invoices, and disputed accounts to ensure prompt resolution.
• Prepare periodic billing, collections, revenue, and performance reports for management review.
• Ensure compliance with healthcare billing standards, contractual agreements, regulatory requirements, and internal policies.
• Coordinate with HMOs, corporate clients, and relevant stakeholders on billing-related matters, reconciliations, and account settlements.
• Identify opportunities for process improvement, automation, and operational efficiency within the billing function.
• Investigate and resolve billing discrepancies, patient complaints, claim rejections, and process deviations.
• Support internal and external audits and provide relevant documentation as required.

Requirements

• Bachelor's Degree in Accounting, Finance, Business Administration, Health Information Management, or a related field.
• 3-5 years' experience in healthcare billing, revenue cycle management, or hospital accounts management, with at least 2 years in a managerial or supervisory role.
• Demonstrated experience in developing and implementing billing systems, policies, and performance frameworks.
• Strong understanding of HMO operations, claims management, healthcare billing processes, and revenue cycle management.
• Proficiency inElectronic Medical Records (EMR), Microsoft Excel, and other relevant software applications.
• Strong analytical, organizational, and problem-solving skills.
• Excellent communication, negotiation, and stakeholder management abilities.
• Ability to drive compliance, standardization, and process improvement across multiple locations.
• High level of integrity, accuracy, and attention to detail.

Preferred Qualifications:

• Professional certification in Accounting, Finance, Health Information Management, or Revenue Cycle Management will be an added advantage.
• Experience working within a multi-facility healthcare group or network of hospitals.

Key Competencies:

• Billing Systems Development and Standardization
• Revenue Cycle Management
• Financial Reporting and Analysis
• Claims Processing and Reconciliation
• Compliance Monitoring and Auditing
• Process Improvement
• Team Leadership
• Data Analysis and Performance Management
• Customer and Stakeholder Relationship Management
• Strategic Planning and Execution