As the Group Collections Manager for their hospital group, you will lead the revenue collection process across multiple healthcare facilities within their organization. Your role will involve overseeing the credit risk management process and the overall management of accounts receivable department. The objective of the department is to maximize revenue collections. Duties will include but not be limited to:Oversee the end-to-end revenue collection cycle processMonitor daily billings across all facilities to set weekly collections targets for Credit ControllersDevelop and implement strategies to optimize revenue collection, reduce accounts receivable days, and minimize revenue leakagePrioritize high value accounts aligned to Medical Scheme payment runsAnalyze claims denials and rejections to identify root causes and implement corrective actions to improve clean claim ratesCollaborate with Patient Administration Department, and payers to resolve denied claims and expedite payment.Escalate unresolved issues to Financial Managers at facilities for resolution where necessaryMonitor accounts receivable aging reports and follow-up on outstanding balances to ensure timely payment.Implement effective collections strategies, including patient payment plans, payment posting, and third-party billing.Provide guidance and support to patients regarding insurance coverage, benefits, and financial assistance optionsDevelop processes to assist patients in understanding their financial responsibilities and facilitate payment arrangementsNegotiate and manage contracts with third-party payers to optimize reimbursement rates and ensure contract complianceRequirements:Bachelor's degree in healthcare administration, finance, business, or related field. Master's degree preferredMinimum of 5 years of experience in healthcare revenue cycle management, with a focus on collections and accounts receivableStrong knowledge of healthcare billing processes, coding systems, and reimbursement methodologiesFamiliarity with healthcare regulations, compliance requirements, and payer policiesExcellent analytical, problem-solving, and communication skillsProficiency in revenue cycle management software and billing systems
