Hospital Billing Manager at St. Ives Specialist Hospital

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Hospital Billing Manager at St. Ives Specialist Hospital

St.Ives is a multi-specialist hospital which opened in 1996. The hospital offers dedicated specialist services in all matters of women,children and family health, managed by a group of consultants in Obstetrics & Gynaecology,Paediatrics,Medicine & SurgeryJob 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
Source: Hospital Billing Manager at St. Ives Specialist Hospital